Incidence and management of testicular carcinoma metastatic to the neck.
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.
See
W A
WA
Department of Urology, University of Iowa, Iowa City, USA.
Laurenzo
J F
JF
Dreicer
R
R
Hoffman
H T
HT
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*