tailieunhanh - báo cáo khoa học: "Inguinal lymph node metastases from a testicular seminoma: a case report and a review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Inguinal lymph node metastases from a testicular seminoma: a case report and a review of the literature | Ismail et al. Journal of Medical Case Reports 2010 4 378 http content 4 1 378 jAl JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Inguinal lymph node metastases from a testicular seminoma a case report and a review of the literature 1 I- 7 1 2 13 13 13 Mohamed Ismail Faruquz Zaman Sohail Baithun Venod Nargund Jhumur Pati Junaid Masood Abstract Introduction We report the case of a true hermaphrodite with testicular seminoma with resulting metastases to the inguinal lymph nodes eight months after radical orchidectomy. This is an unusual presentation of testicular cancer and to the best of our knowledge the first report of this kind in the literature. Case presentation A 45-year-old Caucasian true hermaphrodite raised as a male developed a testicular seminoma. He had undergone a left orchidopexy at the age of 10 for undescended testes. Metastases from testicular tumors to inguinal lymph nodes are a rare occurrence. It has been suggested that previous inguinal or scrotal surgery may alter the pattern of nodal metastasis of testicular cancer. We review the literature to evaluate the incidence of inguinal lymph node involvement in early stage testicular cancer and discuss possible routes of metastases to this unusual site. We also discuss the management of the inguinal lymph nodes in patients with testicular tumors and a previous history of inguinal or scrotal surgery as this remains controversial. Conclusion Inguinal lymph node metastases from testicular cancer are rare. A history of inguinal or scrotal surgery may predispose involvement of the inguinal nodes. During radical inguinal orchidectomy the surgeon should be careful to minimize the handling of the testis and ensure high ligation of the spermatic cord up to the internal inguinal ring to reduce the risk of inguinal lymph node metastasis. Introduction Testicular cancer is a relatively rare cancer and is responsible for one to two percent of all male cancer. In the UK around