Testicular germ cell tumor mimicking pancreatic cancer

Detalhes bibliográficos
Autor(a) principal: Paiva, Carlos Eduardo
Data de Publicação: 2006
Outros Autores: Gaspari, Lia Rachel, Donato, Julio César, Michelin, Odair Carlito
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
DOI: 10.32635/2176-9745.RBC.2006v52n3.1872
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1872
Resumo: In the last two decades, germ cell tumors (gonadal or extragonadal) have become the model of a curable solid tumor, especially because of their good sensitivity to cisplatinum-based chemotherapy. Some 90% of cases present testicular symptoms, and the remaining cases those from metastases. This study presents an atypical case that initially appeared to be pancreatic cancer, thus delaying diagnosis. The importance of considering germ cell tumors should be emphasized, mainly in young men with obstructive jaundice and a pancreatic mass, since retroperitoneal metastatic lymph nodes can simulate pancreatic tumor both clinically and radiographically. Most cases are potentially curable but grow rapidly, so late diagnosis can hinder treatment of patients under inadequate conditions.
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spelling Testicular germ cell tumor mimicking pancreatic cancerTumor de células germinativas de testículo simulando câncer de pâncreasGerminomaNeoplasias pancreáticasDiagnóstico diferencialGerminomaPancreatic neoplasmsDiagnosis differentialIn the last two decades, germ cell tumors (gonadal or extragonadal) have become the model of a curable solid tumor, especially because of their good sensitivity to cisplatinum-based chemotherapy. Some 90% of cases present testicular symptoms, and the remaining cases those from metastases. This study presents an atypical case that initially appeared to be pancreatic cancer, thus delaying diagnosis. The importance of considering germ cell tumors should be emphasized, mainly in young men with obstructive jaundice and a pancreatic mass, since retroperitoneal metastatic lymph nodes can simulate pancreatic tumor both clinically and radiographically. Most cases are potentially curable but grow rapidly, so late diagnosis can hinder treatment of patients under inadequate conditions.Durante as últimas duas décadas, os tumores de células germinativas de origem gonadal ou extragonadal se transformaram no modelo de tumor sólido curável, principalmente em função da boa sensibilidade à quimioterapia baseada em cisplatina. Em cerca de 90% dos casos, se apresentam com sintomas testiculares e nos casos restantes em função de metástases. Apresentamos um caso atípico que simulou inicialmente um câncer de pâncreas, atrasando o diagnóstico. Salientamos a importância de se pensar em tumor de células germinativas, principalmente em homens jovens com icterícia obstrutiva e massa em topografia de pâncreas, já que um linfonodo retroperitoneal metastático pode simular um tumor primário em pâncreas, tanto clinicamente como aos exames de imagem. Sabendo ser um câncer com tendência a rápido crescimento, mas curável em grande parte dos casos, o atraso no diagnóstico pode dificultar o tratamento de um paciente em condições inadequadas.INCA2006-09-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de Casoapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/187210.32635/2176-9745.RBC.2006v52n3.1872Revista Brasileira de Cancerologia; Vol. 52 No. 3 (2006): July/Aug./Sept.; 253-256Revista Brasileira de Cancerologia; Vol. 52 Núm. 3 (2006): jul./ago./sept.; 253-256Revista Brasileira de Cancerologia; v. 52 n. 3 (2006): jul./ago./set.; 253-2562176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1872/1136Paiva, Carlos Eduardo Gaspari, Lia Rachel Donato, Julio César Michelin, Odair Carlito info:eu-repo/semantics/openAccess2021-11-29T20:27:44Zoai:rbc.inca.gov.br:article/1872Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:27:44Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Testicular germ cell tumor mimicking pancreatic cancer
Tumor de células germinativas de testículo simulando câncer de pâncreas
title Testicular germ cell tumor mimicking pancreatic cancer
spellingShingle Testicular germ cell tumor mimicking pancreatic cancer
Testicular germ cell tumor mimicking pancreatic cancer
Paiva, Carlos Eduardo
Germinoma
Neoplasias pancreáticas
Diagnóstico diferencial
Germinoma
Pancreatic neoplasms
Diagnosis differential
Paiva, Carlos Eduardo
Germinoma
Neoplasias pancreáticas
Diagnóstico diferencial
Germinoma
Pancreatic neoplasms
Diagnosis differential
title_short Testicular germ cell tumor mimicking pancreatic cancer
title_full Testicular germ cell tumor mimicking pancreatic cancer
title_fullStr Testicular germ cell tumor mimicking pancreatic cancer
Testicular germ cell tumor mimicking pancreatic cancer
title_full_unstemmed Testicular germ cell tumor mimicking pancreatic cancer
Testicular germ cell tumor mimicking pancreatic cancer
title_sort Testicular germ cell tumor mimicking pancreatic cancer
author Paiva, Carlos Eduardo
author_facet Paiva, Carlos Eduardo
Paiva, Carlos Eduardo
Gaspari, Lia Rachel
Donato, Julio César
Michelin, Odair Carlito
Gaspari, Lia Rachel
Donato, Julio César
Michelin, Odair Carlito
author_role author
author2 Gaspari, Lia Rachel
Donato, Julio César
Michelin, Odair Carlito
author2_role author
author
author
dc.contributor.author.fl_str_mv Paiva, Carlos Eduardo
Gaspari, Lia Rachel
Donato, Julio César
Michelin, Odair Carlito
dc.subject.por.fl_str_mv Germinoma
Neoplasias pancreáticas
Diagnóstico diferencial
Germinoma
Pancreatic neoplasms
Diagnosis differential
topic Germinoma
Neoplasias pancreáticas
Diagnóstico diferencial
Germinoma
Pancreatic neoplasms
Diagnosis differential
description In the last two decades, germ cell tumors (gonadal or extragonadal) have become the model of a curable solid tumor, especially because of their good sensitivity to cisplatinum-based chemotherapy. Some 90% of cases present testicular symptoms, and the remaining cases those from metastases. This study presents an atypical case that initially appeared to be pancreatic cancer, thus delaying diagnosis. The importance of considering germ cell tumors should be emphasized, mainly in young men with obstructive jaundice and a pancreatic mass, since retroperitoneal metastatic lymph nodes can simulate pancreatic tumor both clinically and radiographically. Most cases are potentially curable but grow rapidly, so late diagnosis can hinder treatment of patients under inadequate conditions.
publishDate 2006
dc.date.none.fl_str_mv 2006-09-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de Caso
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1872
10.32635/2176-9745.RBC.2006v52n3.1872
url https://rbc.inca.gov.br/index.php/revista/article/view/1872
identifier_str_mv 10.32635/2176-9745.RBC.2006v52n3.1872
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1872/1136
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 52 No. 3 (2006): July/Aug./Sept.; 253-256
Revista Brasileira de Cancerologia; Vol. 52 Núm. 3 (2006): jul./ago./sept.; 253-256
Revista Brasileira de Cancerologia; v. 52 n. 3 (2006): jul./ago./set.; 253-256
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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dc.identifier.doi.none.fl_str_mv 10.32635/2176-9745.RBC.2006v52n3.1872

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