All issues > Volume 32(1); 1989

Original Article

J Korean Pediatr Soc. 1989;32(1):137-142. Published online January 31, 1989.

A Case of Testicular Tumor Metastasized to The Lung.

Jong Sik Kim¹, Dae Young Kim¹, Kang Ho Kim¹, In Kwyu Park¹, Young Bong Park¹, Chang Soo Ra¹

¹Department of Pediatrics, College of Medicine, Chosun University, Gwangju, Korea

Received: June 9, 1988;  Accepted: July 25, 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.

Keywords :Testicular tumor, Endodermal sinus tumor