Postradical orchiectomy hemorrhage: should an alteration in staging strategy for testicular cancer be considered?
We report 3 cases of postradical orchiectomy hemorrhage from separate institutions. The retroperitoneal and pelvic hematoma formed as a complication of orchiectomy can be misinterpreted to represent metastatic disease on postoperative staging computed tomography scans. As a result of inaccurate information obtained from these evaluations, significant alterations in patient management will result. Prevention and early recognition of this complication are crucial if unnecessary treatment is to be avoided.
Bochner
B H
BH
Department of Urology, Kenneth Norris Jr. Cancer Hospital and Research Institute, University of Southern California, Los Angeles 90033, USA.
Lerner
S P
SP
Kawachi
M
M
Williams
R D
RD
Scardino
P T
PT
Skinner
D G
DG
D000328:Adult; D016063:Blood Loss, Surgical; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D018237:Germinoma / Q000175:diagnosis* / Q000556:secondary*; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D008297:Male; D009367:Neoplasm Staging; D009919:Orchiectomy / Q000009:adverse effects*; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis / Q000556:secondary; D018239:Seminoma / Q000175:diagnosis / Q000556:secondary; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D014057:Tomography, X-Ray Computed