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Prolonged survival after cerebral metastasis of testicular carcinoma
Author(s) -
Stolinsky David C.
Publication year - 1981
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19810301)47:5<978::aid-cncr2820470526>3.0.co;2-i
Subject(s) - medicine , craniotomy , metastasis , chemotherapy , orchiectomy , carcinoma , testicular cancer , surgery , brain metastasis , cancer , disease
A 30‐year‐old man underwent orchiectomy in 1962 for a testicular carcinoma composed of choriocarcinomatous and teratocarcinomatous elements. Bilateral pulmonary metastases regressed completely on combination chemotherapy. However, a cerebral metastasis developed in 1963 and caused severe neurologic signs. At craniotomy a large mass of choriocarcinomatous tissue was incompletely removed. Further chemotherapy resulted in a complete remission. The patient remains free of disease more than 16 years later. The treatment of cerebral metastasis is discussed, with emphasis on the possibility of long‐term survival and the role of surgery. Cancer 47:978–981, 1981.