Document Detail


Paradoxical development of a sarcoid-like reaction during successful chemotherapy for seminoma.
MedLine Citation:
PMID:  20647660     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Although the association between seminoma and sarcoidosis or a sarcoid-like reaction has been well recognized, a paradoxical case during chemotherapy for seminoma has not been reported. We report the first case of a sarcoid-like reaction that developed paradoxically during successful chemotherapy for recurrent seminoma. A 36-year-old Japanese man had recurrent seminoma in abdominal lymph nodes four years after left orchiectomy. Chemotherapy consisting of bleomycin, etoposide and cisplatin had reduced the abdominal mass, but mediastinal and bilateral hilar lymphadenopathy newly appeared. Surgical biopsy of the mediastinal lymph nodes and left nephrectomy and retroperitoneal lymphadenectomy revealed noncaseating granulomas only in mediastinal lymph nodes and confirmed complete remission of seminoma. Nine months later the thoracic lymphadenopathy had resolved spontaneously.
Authors:
Kiminobu Tanizawa; Eisaku Tanaka; Seishu Hashimoto; Satoshi Noma; Yoichiro Kobashi; Kazuhiro Okumura; Toru Shindo; Yoshio Taguchi
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-07-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1423-6     Citation Subset:  IM    
Affiliation:
Department of Respiratory Medicine, Tenri Hospital, Tenri, Japan. tanizawa@kuhp.kyoto-u.ac.jp
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