Priapism as presenting manifestation of germ cell tumor in a child
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Seksüel uyarı olmaksızın peniste ereksiyon halinin olması durumu olarak tanımlanan priapizm, çocuklarda nadir görülür. Perineal travma öyküsü olan 2 yaşında erkek hasta priapizm yakınması ile başvurdu. Dopler ultrasonografisinde yüksek akımlı priapizm tanısı konuldu. Manyetik rezonans görüntüleme yönteminde penis köküne uzanım gösteren intrapelvik kitle saptandı. Alfa fötoprotein düzeyi 54.600 ng/ml (Normal aralık: 0-9 ng/ml) idi. Tru-cut biyopsi uygulanan hastaya endodermal sinüs tümörü tanısı konuldu. Kemoterapinin 4. günü penisteki sertlik yumuşamaya başladı ve birinci kütr kemoterapi sonrasında tamamen kayboldu.
Priapism, defined as prolonged and persistent erection of the penis without sexual stimulation, is rarely seen in children. We report a 2-year-old boy who was admitted with priapism with a history of the perineal trauma. Doppler ultrasonography revealed signs of high-flow priapism. Magnetic resonance imaging revealed an intrapelvic mass beside the root of the penis. The serum alpha-fetoprotein level was 54.600 ng/ml (Normal range: 0-9 ng/ml). Tru-cut biopsy was performed and endodermal sinus tumor was diagnosed. At the fourth day of chemotherapy, the penis became progressively less turgid and soft. After the first cycle chemotherapy, priapism had completely resolved.
Priapism, defined as prolonged and persistent erection of the penis without sexual stimulation, is rarely seen in children. We report a 2-year-old boy who was admitted with priapism with a history of the perineal trauma. Doppler ultrasonography revealed signs of high-flow priapism. Magnetic resonance imaging revealed an intrapelvic mass beside the root of the penis. The serum alpha-fetoprotein level was 54.600 ng/ml (Normal range: 0-9 ng/ml). Tru-cut biopsy was performed and endodermal sinus tumor was diagnosed. At the fourth day of chemotherapy, the penis became progressively less turgid and soft. After the first cycle chemotherapy, priapism had completely resolved.
Açıklama
Anahtar Kelimeler
Onkoloji
Kaynak
Uluslararası Hematoloji-Onkoloji Dergisi
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
21
Sayı
1
