Advanced testicular cancer associated with life-threatening tumour lysis syndrome and choriocarcinoma syndrome

Authors

  • Kohei Kobatake Hiroshima City Asa Hospital
  • Masao Kato Hiroshima City Asa Hospital
  • Koji Mita Hiroshima City Asa Hospital

DOI:

https://doi.org/10.5489/cuaj.2499

Keywords:

Testicular cancer, Germ cell tumor, Chorioarcinoma syndrome, Tumor lysis syndrome

Abstract

Tumour lysis syndrome (TLS) and choriocarcinoma syndrome (CS) are severe complications of chemotherapy for testicular cancer. They are rare, but can be life-threatening. A 37-year-old man complaining of persisting cough was referred to our hospital. A computed tomography (CT) scan revealed huge tumours that occupied the peritoneal cavity, with multiple lung, liver, and para-aortic metastases. Although there was no abnormal finding in the testes, serum testicular tumor markers showed marked elevation. A CT-guided biopsy for the peritoneal tumours revealed extragonadal germ cell tumour (GCT), including yolk sac tumour and choriocarcinoma. Chemotherapy with bleomycin, etoposide, and cisplatin (BEP) was started after admission. The morning after the beginning of BEP, the patient developed hemorrhagic shock, in addition to acute pulmonary and renal failure, because of TLS and massive hemorrhage at bilateral lung metastases. He was intubated and resuscitated. Despite appropriate therapy, his renal function did not recover and hemodialysis was started. The patient eventually died of severe respiratory distress syndrome and infection. To our knowledge, this is the first case report of TLS and CS as complications of hemorrhage at the lung metastases of advanced testicular cancer leading to death.

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Author Biographies

Kohei Kobatake, Hiroshima City Asa Hospital

泌尿器科Depertment

Masao Kato, Hiroshima City Asa Hospital

泌尿器科

Koji Mita, Hiroshima City Asa Hospital

泌尿器科

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Published

2015-02-05

How to Cite

Kobatake, K., Kato, M., & Mita, K. (2015). Advanced testicular cancer associated with life-threatening tumour lysis syndrome and choriocarcinoma syndrome. Canadian Urological Association Journal, 9(1-2), 62–4. https://doi.org/10.5489/cuaj.2499

Issue

Section

Case Report