[Multimodality treatment of XXXX : a case report].

@entity1 @entity6012 @entity1012 @entity5 @entity17081 @entity786 @entity1891 @entity3 @entity521 @entity774
We present adult @entity6012 with giant regional lymph node @entity3 . The @entity1 was a 21-year-old male, who had a left @entity5 diagnosed by ultrasonography incidentally. He was moderately developed and physical examination was almost normal. Blood pressure was within the normal range. Only the value of the @entity17081 , which was 68.7 mg/day, in the urine was abnormal. Other laboratory data were almost normal. Neither chemical nor physical hormonal disorders were present. We carried out the radical surgical treatment by trans-thoracoabdominal approach under the diagnosis of @entity774 . Pathological diagnosis was @entity6012 . After the operation, the @entity1 received both systemic chemotherapy of @entity1891 and @entity786 and immunotherapy of @entity1012 by subcutaneous administration. Furthermore, 40 Gy of the regional irradiation of 60Co to the operative space after the surgery was performed. At eight months after the operation, he is alive with no evidence of disease. @entity6012 is a @entity5 including @entity521 , which commonly occurs in childhood. The prognosis of the @entity5 which occur either in the adrenal gland of a young @entity1 or in an older @entity1 is poor. On the other hand, the biological activity of the adult @entity5 is different from that of the pediatric @entity5 . In the adult, the @entity6012 does not always have a poor prognosis. The multimodality treatment which we performed is effective for the @entity5 . Ultrasonography is both effective and adequate for the screening of the retroperitoneal lesion such as in our case.
