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A Case of Testicular Tumor Metastasized to The Lung.

Journal of the Korean Pediatric Society 1989;32(1):137-142.
Published online January 31, 1989.
A Case of Testicular Tumor Metastasized to The Lung.
Jong Sik Kim, Dae Young Kim, Kang Ho Kim, In Kwyu Park, Young Bong Park, Chang Soo Ra
Department of Pediatrics, College of Medicine, Chosun University, Gwangju, Korea
폐에 전이된 고환종양 1례
김종식, 김대영, 김강호, 박인규, 박영봉, 나창수
조선대학교 의과대학 소아과학교실
Received: 9 June 1988   • Accepted: 25 July 1988
Abstract
A 11/2 year old male child was admitted to the Department of Pedíatrics of Chosun University Hospital because of dyspnea and coughíng. on physical examination, intercostal and subcostal retraction were observed, and dullness and decreased breathing sound were auscultated on the right side chest. Seven months earlier, the patient developed a mass on the right side testis and has grown rapidly and was admitted to the Department of Urology of this hospital. After the admission, orchiectomy was performed and the diagnosis was established by microscopic findings of resected testicular mass showing endodermal sinus tumor. However the patient was discharged without chemotherapy and radiation therapy. The X -ray films of the chest showed increased density on the right lung field with mediastinal shifting to the left. The pleural fluid was reddish color and pap smear of the pleural fluid revealed class IV finding, Serum alpha-fetoprotein level was 480 ng/ml and serum LDH level was 470 IU/ L. After the admission, the patient was not improved and discharged hopelessly. A brief review of literature was made.
Key Words: Testicular tumor, Endodermal sinus tumor


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