Senkron Bilateral Seminomda Radyoterapinin Yeri

Synchronous bilateral seminoma is encountered in 1.0-2.8% of all testicular tumors. A 33-year old patient was diagnosed as bilateral synchronous seminoma of classical type. The stage of the disease was T1N2S0. Radiotherapy was delivered with a dose of 24.5 Gy to bilateral pelvic and paraaortic lymph nodes whereas 20Gy to residual testicular tissue on the left; in addition, radiotherapy was delivered with a dose of 10.8Gy to paraaortic lymph node region. The patient has been in remission for 26-months. Here, we presented a case with synchronous bilateral seminoma of classical type and discussed effectiveness and value of radiation therapy.

Synchronous Bilateral Seminoma Role of Radiotherapy

Senkron bilateral seminom, tüm testis tümörlerinin %1-2.8’sinde görülür. 33 yaþýndaki hastaya senkron bilateral klasik tip seminom tanýsý konuldu. Evre T1N2S0 tanýsýyla bilateral pelvik ve paraaortik lenf nodlarýna 24.5 Gy, kalan testis dokusuna 20 Gy ve sol paraaortik lenf nodu bölgesine ek doz 10.8 Gy radyoterapi verildi. Hasta 26 aydýr remisyonda izlenmektedir. Bu makalede, senkron bilateral klasik tip seminomlu vakada radyasyon tedavisinin yeri, etkinliði ve önemi tartýþýldý.