Spinal metastasis of non-seminoma testicular cancer: Case report.

Solapas principales

Brito N.1, Campos L.1, Díaz F.1, Velásquez M.1, Echenique D.1, Izaguirre E.1, Faria G.1, Roa C.1, Cuberos O.1, Jáuregui E.1, Romano A.2,3 , Krivoy J. 4,5

ABSTRACT

 

            Bone metastases from nonseminomaniac testicular tumors are rare (<1%), being less so when they are spinal. A 23-year-old male with a history of orchiectomy, due to non-seminoma testicular tumor without treatment, who presented pain in the lumbar region of the axial type of mild to moderate intensity of 4 months of evolution. Two weeks before admission, the pain becomes severe, concomitantly decreases progressive muscular strength of both lower limbs, and urinary retention. The levels of alfafetoprotenia (AFP), lactate dehydrogenase (LDH) and human chorionic gonadotropin (HCG) elevated. The resonance showed space-occupying lesion from L3 to S1 with spinal cord compression, so it is taken to the operative table performing decompressive laminectomy from L3 to S2. Presenting partial improvement of muscle strength. Patient dies three months after hospital discharge. Spinal metastasis of non-seminoma testicular tumors are rare, in the national literature there is no reported case and these associations are rare at the international level.

 

Key Words: Metastasis, testicular cancer, Laminectomy, lumbalgia, Lactate dehydrogenase, HCG.


  1. Residentes del Postgrado de Neurocirugía. Cátedra y servicio de neurocirugía. Hospital Universitario de Caracas, Caracas. Venezuela.
  2. Profesor Titular Postgrado de Neurocirugía. Escuela de medicina “Dr. Luis Razetti”. Universidad Central de Venezuela. 
  3. Neurocirujano Adjunto. Cátedra y Servicio de Neurocirugía. Hospital Universitario de Caracas, Caracas. Venezuela.
  4. Jefe de Cátedra y Servicio de Neurocirugía. Hospital Universitario de Caracas, Caracas. Venezuela.
  5. Profesor Asociado Postgrado de Neurocirugía. Escuela de medicina “Dr. Luis Razetti”. Universidad Central de Venezuela.

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