Testicular carcinoma metastatic to the neck.
OBJECTIVE
To show that a supraclavicular neck mass may be indicative of metastatic testicular carcinoma and to offer further insight into the treatment of residual neck disease.


METHODS
We report six cases of testicular carcinoma metastatic to the neck. All were initially treated with radiation, chemotherapy, or a combination of both depending on histological type.


RESULTS
Neck masses persisted despite primary therapy. Three patients underwent subsequent modified neck dissection and remained free of disease; three others received nonsurgical forms of adjuvant therapy and ultimately died of their cancer.


CONCLUSIONS
Metastatic testicular carcinoma may manifest as a supraclavicular neck mass and must therefore be considered in the differential diagnosis of a mass in this region. Surgical resection is indicated in the management of neck masses that persist after cytoreductive chemotherapy to remove residual foci of disease and potential source of spread.
University of California at Los Angeles School of Medicine, USA.
J T
JT
Lee
T C
TC
Calcaterra
D000293:Adolescent; D000328:Adult; D018236:Carcinoma, Embryonal / Q000473:pathology* / Q000628:therapy; D003937:Diagnosis, Differential; D006258:Head and Neck Neoplasms / Q000556:secondary* / Q000628:therapy; D006801:Humans; D008297:Male; D016609:Neoplasms, Second Primary / Q000473:pathology / Q000628:therapy; D013724:Teratoma / Q000473:pathology* / Q000628:therapy; D013736:Testicular Neoplasms / Q000473:pathology* / Q000628:therapy