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Metastatic testicular seminoma--a case report
Rajiv K Bhalla1, Terence M Jones, Doug Errington
1Department of Otolaryngology, University Hospital Aintree, Lower Lane, L9 7AL, Liverpool, UK. drrkbhalla@doctors.org.uk
Auris, Nasus, Larynx
|March 15, 2002
Summary
A metastatic seminoma deposit presented as a neck mass in a 42-year-old male. This case underscores the diverse presentations of testicular cancer metastasis.
Area of Science:
- Oncology
- Pathology
Background:
- Testicular seminoma is a malignant germ cell tumor.
- Metastasis can occur through lymphatic and hematogenous routes.
Observation:
- A 42-year-old male presented with a supraclavicular fossa swelling.
- Medical history included prior testicular seminoma treatment (orchidectomy, radiotherapy).
- Initial presentation mimicked an infectious mass.
Findings:
- CT revealed a para-laryngeal mass.
- Ultrasound-guided fine needle aspiration confirmed metastatic seminoma.
- No other metastatic sites were identified on chest and abdominal imaging.
Implications:
- This case highlights unusual metastatic patterns of testicular seminoma.
- Neck masses can represent extragonadal seminoma or metastasis.
- Early diagnosis and treatment are crucial for managing metastatic seminoma.