Archivos espanoles de urologia · 2009
[Atypical lymphatic dissemination of a testicular tumor from a cryptorquid testicle].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Coloma del Peso Almudena, Arellano Gañán Ramón, Garrido Abad Pablo, Fernández González Inmaculada, Couñago Lorenzo Felipe, Gómez-Ulla Astray Jacobo, Ortega Serrano María Paz, Bocardo Fajardo Gloria, Rabadán Ruiz Mariano, Pereira Sanz Ignacio
Аннотация
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 onco-urological patients presenting with atypical disease.
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 onco-urological patients presenting with atypical disease.