UNASSIGNED: A 32-year-old man with severe cerebral palsy due to hydranencephaly was referred to our department for the evaluation of a subcutaneous lump in the lower right abdomen. He was a long-term survivor of hydranencephaly. After confirming the diagnosis of right testicular cancer originating in his undescended testes, surgical resection was performed. Pathological examination revealed a mixed-type germ cell tumor.
UNASSIGNED: The decision-making process for treating malignant tumors, like testicular cancer, in adults with severe cerebral palsy can be challenging. Clinical ethics consultation could be helpful in avoiding treatment delays.
■一名32岁男子因无脑积水导致严重脑瘫,被转诊到我们部门评估右下腹皮下肿块。他是无脑积水的长期幸存者。在确认右睾丸癌的诊断后,起源于他的未降睾丸,进行了手术切除。病理检查显示为混合型生殖细胞肿瘤。
■治疗恶性肿瘤的决策过程,比如睾丸癌,在患有严重脑瘫的成年人中可能具有挑战性。临床伦理咨询有助于避免治疗延误。