Abstract

COLOMA DEL PESO, Almudena et al. Atypical lymphatic dissemination of a testicular tumor from a chriptorquid testicle. Arch. Esp. Urol. [online]. 2009, vol.62, n.5, pp.389-392. ISSN 0004-0614.

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.

Keywords : Testicular neoplasms; Cryptorchidism; Inguinal lymph node metastasis.

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