Psoas nodes--an overlooked site of metastasis from testicular tumours

This paper describes six patients with testicular tumours in whom computed tomography (CT) scanning at presentation (one case) or relapse (five cases) showed metastases to sites on the psoas muscle at, or below, the level of the aortic bifurcation. Evidence for the existence of retroperitoneal lymph nodes low on the psoas muscles is presented and the importance of recognising this as a possible site of metastasis from testicular tumours is discussed.