| Title | Atypical lymphatic dissemination of a testicular tumor from a chriptorquid testicle. | | Author(s) | 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 | | Institution | Department of Urology. Department of Radiation Oncology.Hospital Universitario La Princesa. Madrid. Spain. | | Source | Arch Esp Urol 2009 Jun; 62(5):389-392. | | Abstract | 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. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19721174 |
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