title: [Atypical lymphatic dissemination of a testicular tumor from a cryptorquid testicle].
abstract: OBJECTIVE
  Atypical lymphatic spread of germ cell tumors to inguinal lymph nodes has been reported mostly related to prior surgical involvement of the inguinoscrotal region, as in orchiopexy.
  
  
  METHODS
  A patient with cryptorchidism and failed orchiopexy in his childhood was diagnosed with a testicular neoplasm. Inguinal orchiectomy was performed.
  
  
  RESULTS
  Pathological analysis showed classical seminoma spreading into a subcutaneous adjacent lymph node. Further metastatic disease was not found. Patient was treated with adjuvant chemotherapy.
  
  
  CONCLUSIONS
  We emphasize the need for accurate staging and a multidisciplinary approach when dealing with onco-urological patients presenting with atypical disease.
authors.affiliation: Servicio de Urología, Hospital Universitario de La Princesa, Madrid, España. almudenacoloma@hotmail.com
authors.forename: Almudena
authors.initials: A
authors.lastname: Coloma del Peso
authors.forename: Ramón
authors.initials: R
authors.lastname: Arellano Gañán
authors.forename: Pablo
authors.initials: P
authors.lastname: Garrido Abad
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Fernández González
authors.forename: Felipe
authors.initials: F
authors.lastname: Couñago Lorenzo
authors.forename: Jacobo
authors.initials: J
authors.lastname: Gómez-Ulla Astray
authors.forename: María Paz
authors.initials: MP
authors.lastname: Ortega Serrano
authors.forename: Gloria
authors.initials: G
authors.lastname: Bocardo Fajardo
authors.forename: Mariano
authors.initials: M
authors.lastname: Rabadán Ruiz
authors.forename: Ignacio
authors.initials: I
authors.lastname: Pereira Sanz
mesh_terms: D000328:Adult; D003456:Cryptorchidism / Q000150:complications*; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D018239:Seminoma / Q000150:complications* / Q000556:secondary*; D013736:Testicular Neoplasms / Q000150:complications* / Q000473:pathology*