[Atypical lymphatic dissemination of a testicular tumor from a cryptorquid testicle].
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.
Coloma del Peso
Almudena
A
Servicio de Urología, Hospital Universitario de La Princesa, Madrid, España. almudenacoloma@hotmail.com
Arellano Gañán
Ramón
R
Garrido Abad
Pablo
P
Fernández González
Inmaculada
I
Couñago Lorenzo
Felipe
F
Gómez-Ulla Astray
Jacobo
J
Ortega Serrano
María Paz
MP
Bocardo Fajardo
Gloria
G
Rabadán Ruiz
Mariano
M
Pereira Sanz
Ignacio
I
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*