Radical chemotherapy of massively disseminated testicular cancer in a 24-year-old patient with acute renal failure and cancer cachexia — case report
Abstract
We present a case of a 24-year-old patient with metastatic testicular cancer, with massive dissemination to the lung, mediastinum, and abdominal organs, generalised lymphadenopathy, and accompanying acute renal failure due to the compression of the ureters by lymph node conglomerates. The patient underwent radical chemotherapy — initially at doses adequate for renal function together with periodically applied haemodialysis, subsequently in full doses. Two lines of the chemotherapy were applied. The cycles were administered according to the planned rhythm with no deferrals. The applied treatment resulted in relief of the symptoms of the disease and partial regression of the lesions in imaging studies. The persistent lesions have presented no signs of progression since November 2016 to the present day.
Keywords: testicular cancerradical chemotherapyacute renal failure
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