Departmental Bulletin Paper 高齢者進行性精巣腫瘍に対するEP 療法の経験
A Case of Advanced Seminoma in a 79-Year-Old Man Successfully Treated with Etoposide and Cisplatin

志賀, 正宣  ,  河合, 弘二  ,  古城, 公祐  ,  黒部, 匡広  ,  市岡, 大士  ,  吉野, 喬之  ,  池田, 篤史  ,  小島, 崇宏  ,  常楽, 晃  ,  末富, 崇弘  ,  堤, 雅一  ,  宮崎, 淳  ,  西山, 博之

61 ( 12 )  , pp.515 - 518 , 2015-12-31 , 泌尿器科紀要刊行会
Testicular tumors are representative solidcancers that occur in young men, and the standard multi-drug combination chemotherapy has been established for metastatic tumors. However, they develop rarely in elderly men over 70 years old, and there are few reports about the information of combination chemotherapy for elderly testicular tumor patients. Here, we present a case in a 79-year-old who had right testicular tumors (seminoma, cT2N3M1a, IGCC classification : goodprognosis) safely treated with multi-drug combination chemotherapy. To reduce the risk of side effects, we selected 4 courses of etoposide and cisplatin (EP) to the patient. The patient suffered from febrile neutropenia (FN) and oral mucositis during the first cycle of EP. However, no further episodes of oral mucositis and FN were observed after introduction of oral health care by a dentist. The patient received 4 courses of EP without dose reduction or treatment postponement. There was no evidence of recurrence 6 months after chemotherapy. To our knowledge, the present case is the oldest patient with metastatic testicular treated with combination chemotherapy including cisplatin.

Number of accesses :  

Other information