title: [Testicular tumor with opposite inguinal lymph node metastasis in a patient with prior orchiopexy for undescended testis].
abstract: The patient was a 54-year-old man. At age 6 years, he had undergone orchiopexy for left undescended testis. Six months prior to the current presentation, he visited our hospital with a chief complaint of painless enlargement of the left testis. Left high orchiectomy was performed under a diagnosis of left testicular tumor. Histopathological examination determined the tumor to be a seminoma (pT2). Postoperatively, the patient was placed on surveillance without preventive radiation treatment. He visited our hospital six months after surgery due to a painless mass in the right inguinal region. All tumor markers (AFP, HCG-β, and LDH) were within normal ranges. However, based on ultrasound and CT scan findings, lymph node metastasis was suspected and a right inguinal lymph node excision was thus performed. Histopathological examination led to the diagnosis of seminoma.
authors: The Department of Urology, Showa University Koto Toyosu Hospital.
authors: Keiichiro
authors: K
authors: Hayashi
authors: The Department of Urology, Showa University Koto Toyosu Hospital.
authors: Takashi
authors: T
authors: Fukagai
authors: The Department of Urology, Showa University Koto Toyosu Hospital.
authors: Masashi
authors: M
authors: Morita
authors: The Department of Urology, Showa University Koto Toyosu Hospital.
authors: Atsushi
authors: A
authors: Igarashi
authors: The Department of Pathology, Showa University Koto Toyosu Hosupital.
authors: Miki
authors: M
authors: Kushima
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D001761:Bleomycin / Q000008:administration & dosage; D017024:Chemotherapy, Adjuvant; D002945:Cisplatin / Q000008:administration & dosage; D003456:Cryptorchidism / Q000150:complications / Q000601:surgery*; D005047:Etoposide / Q000008:administration & dosage; D006801:Humans; D007264:Inguinal Canal; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D056126:Orchiopexy; D018239:Seminoma / Q000175:diagnosis / Q000209:etiology / Q000556:secondary / Q000601:surgery*; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*
chemical_list: D001761:Bleomycin; D005047:Etoposide; D002945:Cisplatin