Embryonal carcinoma producing DU-PAN-2 with burned-out phenomenon in the testis

Int J Urol. 2006 Apr;13(4):473-5. doi: 10.1111/j.1442-2042.2006.01328.x.

Abstract

A burned-out testicular tumor with lung and lymph node metastases presented high serum levels of DU-PAN-2. However, the serum levels of CA19-9, alpha-fetoprotein, beta-human chorionic gonadotropin, and sialyl Lewis X were normal. A biopsy of the cervical lymph nodes revealed embryonal carcinoma. Four courses of chemotherapy, including cisplatin, etoposide, and bleomycin, normalized the level of DU-PAN-2, and the metastatic lesions disappeared. This is the second reported case of an embryonal carcinoma producing DU-PAN-2. The secretor and Lewis gene typings, which affect the normal serum ranges of CA19-9 and DU-PAN-2, were determined.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibodies, Neoplasm / blood
  • Antigens, Neoplasm / blood*
  • Antigens, Neoplasm / immunology
  • Biomarkers, Tumor / blood*
  • Biomarkers, Tumor / immunology
  • Biopsy
  • Carcinoma, Embryonal / diagnosis
  • Carcinoma, Embryonal / metabolism*
  • Carcinoma, Embryonal / surgery
  • Diagnosis, Differential
  • Humans
  • Immunohistochemistry
  • Male
  • Orchiectomy
  • Testicular Neoplasms / diagnosis
  • Testicular Neoplasms / metabolism*
  • Testicular Neoplasms / surgery
  • Tomography, X-Ray Computed

Substances

  • Antibodies, Neoplasm
  • Antigens, Neoplasm
  • Biomarkers, Tumor
  • DU-PAN-2 antigen, human