1988 Volume 79 Issue 6 Pages 1114-1118
A twenty-three-year-old male, who had undergone left orchiectomy due to mature teratoma associated with embryonal cell carcinoma and choriocarcinoma about one month before, was referred to us for further treatment.
An attempt of retroperitoneal lymphonode dissection immediately after the admission was unsuccessful because of extensive tumor invasion.
The results of two courses of chemotherapy with BVP regimen were fairly satisfactory and α-fetoprotein dropped to normal range. Eight months later, another course of chemotherapy with Etoposide, Vincristine, Peplomysin and CDDP was done for recurrent retroperitoneal lymphnode swelling and elevated α-fetoprotein but with partial response.
Three months later, the patient underwent retroperitoneal lymphnode dissection and simultaneous left nephrectomy because of extensive invasion of metastatic tumor involving the renal pedicle. The patient developed acute renal failure immediately after the operation and underwent chronic hemodialysis. Thirty-one months later, the patient successfully dispensed with hemodialysis with recovery from impaired renal function.
The patient has been in good condition without any evidence of tumor recurrence up to the present, about 14 months after cessation of hemodialysis treatment.
