A Patient with Testicular Seminoma, Inguinal Lymphadenopathy and Abnormal PET Scan
Sonya Minmin Chew1, Geoffrey Alan Watson1, Sarah Picardo1, Vourneen Healy2, Padraig O’Brien3, Rajnish Kumar Gupta1,4*
Affiliation
- 1Department of Medical Oncology, University Hospital Limerick, Ireland
- 2Department of Histopathology, University Hospital Limerick, Ireland
- 3Department of Radiology, University Hospital Limerick, Ireland
- 4Graduate Entry Medical School, University Hospital Limerick, Ireland
Corresponding Author
Rajnish Kumar Gupta, Department of Medical Oncology, Mid-Western Cancer Centre, University Hospital Limerick, Limerick, Ireland, Tel: +35361482542; E-mail: rajnish.gupta@hse.ie
Citation
Gupta, R.K., et al. A Patient with Testicular Seminoma, Inguinal Lymphadenopathy and Abnormal PET Scan. (2017) Int J Cancer Oncol 4(1): 1- 4.
Copy rights
© 2017 Gupta, R.K. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
Testicular malignancies are rare but are associated with an excellent prognosis. The majority of patients are diagnosed at an early stage, and even in the presence of nodal or distant metastases, treatment is administered with curative intent. Embryologically the male genital system is derived from the dorsal abdominal wall at level of the lumbar vertebrae, and migrates caudally towards the deep inguinal rings during development. Thus nodal metastases most often occur along the para-aortic lymphatic pathway up to this lumbar level. Inguinal metastases in testicular cancer are exceedingly rare, and often suggest disruption of this lymphatic pathway. We report the case of a young gentleman diagnosed with good risk testicular seminoma with inguinal metastases with a background of previous scrotal surgery and vasectomy.
