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Bihiläre Lymphome bei nichtseminomatösem Keimzelltumor

Intrathoracic lesions in association with germ cell tumor of the testis

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Zusammenfassung

Pulmonal und mediastinal vergrößerte Lymphknoten bei bekannten malignen Grunderkrankungen sind immer hochverdächtig auf eine lymphogene Metastasierung. Dies gilt insbesondere dann, wenn schon in regionären Lymphknotenstationen Tumorresiduen isoliert werden konnten. Dass trotz modernster präoperativer Diagnostik überraschende Befunde zutage kommen, zeigt der vorliegende Fall eines jungen Mannes mit einem nichtseminomatösen Hodenkarzinom, bei dem sich eine bihiläre Lymphknotenschwellung nicht als Rezidiv, sondern als ein simultane Sarkoidose herausstellte.

Abstract

Intrathoracic enlarged lymph nodes in patients with malignant diseases always arouse suspicion of lymphatic metastases. Despite modern diagnostic investigation, surprising findings sometimes emerge. The present case of a young man with intrathoracic lesions in association with a germ-cell tumor of the testis turned out to have sarcoidosis mimicking testicular cancer relapse.

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Authors and Affiliations

  1. Klinik und Poliklinik für Allgemein-, Viszeral- und Thoraxchirurgie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland

    O. Mann, H. Kleinhans, F. Gebauer, J. Kaifi, P.G. Schurr, J.R. Izbicki & T.G. Strate

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  1. O. Mann
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  2. H. Kleinhans
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  3. F. Gebauer
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  4. J. Kaifi
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  5. P.G. Schurr
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  6. J.R. Izbicki
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  7. T.G. Strate
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Correspondence to O. Mann.

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Mann, O., Kleinhans, H., Gebauer, F. et al. Bihiläre Lymphome bei nichtseminomatösem Keimzelltumor. Chirurg 79, 874–876 (2008). https://doi.org/10.1007/s00104-007-1450-1

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  • DOI: https://doi.org/10.1007/s00104-007-1450-1

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