Abstract
We describe a patient in whom pulmonary nodules developed without infectious symptoms during treatment with bleomycin, cis-platinum, vinblastine and etoposide combination chemotherapy for metastatic extra-gonadal germ cell tumor. At thoracotomy only fibrosis was found. In this case, false-positive elevation of alpha-fetoprotein and the CT scan appearance made us interpret the pulmonary nodules as new metastatic lesions.
MeSH terms
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Adult
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Antineoplastic Combined Chemotherapy Protocols / adverse effects*
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False Positive Reactions
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Humans
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Lung Diseases / diagnosis*
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Lung Diseases / diagnostic imaging
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Lung Neoplasms / diagnosis
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Lung Neoplasms / diagnostic imaging
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Lung Neoplasms / secondary*
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Male
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Neoplasms, Germ Cell and Embryonal / diagnosis
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Neoplasms, Germ Cell and Embryonal / drug therapy
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Neoplasms, Germ Cell and Embryonal / secondary*
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Sacrococcygeal Region
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Tomography, X-Ray Computed
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alpha-Fetoproteins / analysis