Veliki primarni retroperitonealni seminom

  • Nataša Janjušević Faculty of Medicine of the Military Medical Academy, University of Defense, Belgrade, Serbia
  • Darko Mirković Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defense, Belgrade, Serbia
  • Milan Jovanović Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defense, Belgrade, Serbia
  • Maja Vulović Department of Anatomy and Forensic Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
  • Boško Milev Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia
  • Miroslav Mitrović Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia
  • Bratislav Trifunović Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defense, Belgrade, Serbia
DOI: https://doi.org/10.2298/7614
Ključne reči: seminoma||, ||seminom, retroperitoneal space||, ||retroperitonealni prostor, venous thrombosis||, ||tromboza, venska, diagnosis, differential||, ||dijagnoza, diferencijalna, digestive system surgical procedures||, ||hirurgija digestivnog sistema, procedure, orchiectomy||, ||orhiektomija,

Sažetak


Uvod. Primarni vantestisni seminomi su veoma retki tumori. U literaturi je prikazano svega nekoliko slučajeva primarnog retroperitonealnog seminoma. Prikaz bolesnika. Prikazali smo bolesnika, starog 56 godina, sa ogromnim primarnim retroperitonealnim seminomom, koji se javio sa uvećanjem leve polovine abdomena i dubokom venskom trombozom leve noge. Na kompjuterizovanoj tomografiji abdomena opisan je tumor veličine 23 ´ 13 cm. Hirurškim putem uklonjena je čvrsta tumorska masa veličine 25 ´ 15 cm. Tumor se prilepio za tuniku adventiciju aorte, a pažljivom resekcijom odvojen je od zida aorte. Patohistološki pregled pokazao je da se radi o seminomu. Bolesnik je primio hemioterapiju.  Dve godine nakon završene hemioterapije prihvatio je hirurško uklanjanje levog testisa da bi se eliminisala mogućnost postojanja skrivenog malignog tumora testisa. Patohistološkom analizom tkiva testisa nije ustanovljeno prisustvo tumora, tako da je potvrđena dijagnoza primarnog retroperitonealnog seminoma. Zaključak. Kod bolesnika muškog pola sa nespecifičnom simptomatologijom i retroperitonealnom tumorskom masom treba misliti i na dijagnozu primarnog  retroperitonealnog seminoma uprkos njegovoj maloj incidenciji u opštoj populaciji.

 

 


Reference

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Objavljeno
2017/01/27
Broj časopisa
Vol. 73 Br. 2 (2016)
Rubrika
Prikaz bolesnika