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Management of testicular seminoma following organ transplantation

✍ Scribed by Villalona-Calero, Miguel A. ;Ducker, Thomas ;Holasek, Maureen ;Najarian, John ;Kennedy, B. J.

Publisher: John Wiley and Sons
Year: 1992
Tongue: English
Weight: 260 KB
Volume: 20
Category: Article
ISSN: 0098-1532
DOI: 10.1002/mpo.2950200414

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

An increased incidence of malignancies has occurred in recipients of organ transplantation who are immunosuppressed. Although testicular cancers have been uncommon, seminomas are extremely rare. Two patients with long‐standing diabetes mellitus and renal transplants developed clinical stage I seminoma of the testis. These patients posed a therapeutic problem with respect to the use of radiation therapy. In one, none was given because of a combination of kidney rejection and antibiotic‐induced renal damage. The second patient received radiation therapy with shielding of the transplanted kidney. The surgical distortion of lymph node architecture increases the problems in the use of radiation therapy. Individual factors need to be considered in the use of postorchiectomy radiation therapy for seminoma in transplant patients. © 1992 Wiley‐Liss, Inc.

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