Coloma Del Peso A, Arellano Gañan R, Garrido Abad P, Fernández Gonzalez I, Gomez-Ulla Astray J, Ortega Serrano MP, Bocardo Fajardo G, Rabadan Ruiz M, Pereira Sanz I
Atypical lymphatic dissemination of a testicular tumor from a chriptorquid testicle. [JOURNAL ARTICLE]
Arch Esp Urol 2009 Jun; 62(5):389-392.
OBJECTIVES: Atypical lymphatic spread of germ cell tumors to inguinal lymph nodes has been reported mostly related to prior surgical involvement of the inguinoscrotal region, as in orchiopexy.
METHODS: A patient with cryptorchidism and failed orchiopexy in his childhood was diagnosed with a testicular neoplasm. Inguinal orchiectomy was performed.
RESULTS: Pathological analysis showed classical seminoma spreading into a subcutaneous adjacent lymph node. Further metastatic disease was not found. Patient was treated with adjuvant chemotherapy.
CONCLUSIONS: We emphasize the need for accurate staging and a multidisciplinary approach when dealing with oncourological patients presenting with atypical disease.
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