title: Incidence and management of testicular carcinoma metastatic to the neck.
abstract: OBJECTIVE
  We evaluated the incidence and impact on outcome of neck metastasis in germ cell carcinoma.
  
  
  METHODS
  A retrospective, institutional analysis of patients who presented with germ cell neoplasms was performed.
  
  
  RESULTS
  During an 11-year period 7 of 155 patients (4.5%) with testis cancer had neck metastasis. The incidence of neck metastasis strongly correlated with disease stage. Selective neck dissection in 3 patients with post-chemotherapy residual neck masses demonstrated teratomatous elements in 2, with scar and necrosis in 1.
  
  
  CONCLUSIONS
  Post-chemotherapy neck masses should be treated by definitive surgery for local disease control and to eliminate the possibility of residual neoplastic or teratomatous elements.
authors.affiliation: Department of Urology, University of Iowa, Iowa City, USA.
authors.forename: W A
authors.initials: WA
authors.lastname: See
authors.forename: J F
authors.initials: JF
authors.lastname: Laurenzo
authors.forename: R
authors.initials: R
authors.lastname: Dreicer
authors.forename: H T
authors.initials: HT
authors.lastname: Hoffman
mesh_terms: D000328:Adult; D018237:Germinoma / Q000453:epidemiology* / Q000556:secondary* / Q000628:therapy; D006258:Head and Neck Neoplasms / Q000453:epidemiology* / Q000556:secondary* / Q000628:therapy; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D013736:Testicular Neoplasms / Q000473:pathology*