32-Year-old man was seen in a clinic because of prolonged cough and slight-fever.
Chest X-ray showed multiple pulmonary nodules, and multiple lung and mediastinal lymph node metastases from right testicular tumor was suspected by positron emission tomography/CT (PET/CT) scan. He was diagnosed with right testicular germ cell tumor (embryonal carcinoma＋seminoma, pT2N1M1b), and classified into the intermediate risk group according to International Germ Cell Cancer Collaborative Group. He underwent 4 cycles of chemotherapy with bleomycin, etoposide and cisplatin (BEP therapy). During BEP therapy, sputum with foul odor appeared and chest CT scan revealed lung abscess with a necrotic lesion of metastatic tumor. The lung abscess was treated successfully with antibiotics.
Written by:
Hayashi Y, Miyago N, Takeda K, Yamaguchi Y, Nakayama M, Arai Y, Kakimoto K, Nishimura K. Are you the author?
The Department of Urology, Osaka Medical Center for Cancer and Cardiovascular Diseases.
Reference: Hinyokika Kiyo. 2014 May;60(5):237-9.
PubMed Abstract
PMID: 24894860
Article in Japanese.
UroToday.com Testicular Cancer Section
