MALIGNANT LEYDIG-CELL TUMOR OF THE TESTIS IN COMPLETE REMISSION ON O,P'-DICHLORODIPHENYL-DICHLOROETHANE

被引:17
作者
VANDERHEM, KG [1 ]
BOVEN, E [1 ]
VANHENNIK, MB [1 ]
PINEDO, HM [1 ]
机构
[1] FREE UNIV AMSTERDAM HOSP,DEPT CLIN ONCOL,DE BOELELAAN 1117,1081 HV AMSTERDAM,NETHERLANDS
关键词
TESTICULAR NEOPLASMS; LEYDIG CELL TUMOR; DDD; MITOTANE;
D O I
10.1016/S0022-5347(17)36878-7
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
A 56-year-old patient is described who presented with retroperitoneal lymph node metastases 2 years after resection of a Leydig cell tumor of the left testis. The patient did not suffer from endocrinological imbalance. Surgical removal of the metastases alleviated abdominal symptoms for 1 year. o,p'-Dichlorodiphenyl-dichloroethane (o,p'-DDD) treatment was started at the time of recurrence of the retroperitoneal mass and the appearance of a hepatic metastasis. Tumors were remarkably responsive to o,p'-DDD, since 2 complete remissions could be obtained for extended periods. The o,p'-DDD was tolerated reasonably well and serum levels of 15 to 20 mg./l. were sustained for many months. Unfortunately, the patient could not be cured with this effective treatment.
引用
收藏
页码:1256 / 1259
页数:4
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