Metastatic Seminoma with Cervical Lymphadenopathy as the Initial Manifestation
Advanced testicular germ cell tumors commonly involve cervical lymph nodes. In most circumstances, the diagnosis of germ cell tumor is established before the neck disease is noted. In rare cases, these tumors have been found along with cervical lymphadenopathy in patients with a previously undiagnos...
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Veröffentlicht in: | Ear, nose, & throat journal nose, & throat journal, 2004-05, Vol.83 (5), p.356-359 |
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description | Advanced testicular germ cell tumors commonly involve cervical lymph nodes. In most circumstances, the diagnosis of germ cell tumor is established before the neck disease is noted. In rare cases, these tumors have been found along with cervical lymphadenopathy in patients with a previously undiagnosed primary tumor. In this article, we report the unusual case of a 71-year-old man whose metastatic seminoma initially manifested as an asymptomatic neck mass. This finding reinforces the need to include metastatic disease in the differential diagnosis of neck masses. Our discussion of this case focuses on the appropriate management of cervical metastases of germ cell tumors. |
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In most circumstances, the diagnosis of germ cell tumor is established before the neck disease is noted. In rare cases, these tumors have been found along with cervical lymphadenopathy in patients with a previously undiagnosed primary tumor. In this article, we report the unusual case of a 71-year-old man whose metastatic seminoma initially manifested as an asymptomatic neck mass. This finding reinforces the need to include metastatic disease in the differential diagnosis of neck masses. 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In most circumstances, the diagnosis of germ cell tumor is established before the neck disease is noted. In rare cases, these tumors have been found along with cervical lymphadenopathy in patients with a previously undiagnosed primary tumor. In this article, we report the unusual case of a 71-year-old man whose metastatic seminoma initially manifested as an asymptomatic neck mass. This finding reinforces the need to include metastatic disease in the differential diagnosis of neck masses. Our discussion of this case focuses on the appropriate management of cervical metastases of germ cell tumors.</description><subject>Aged</subject><subject>Biopsy, Fine-Needle</subject><subject>Care and treatment</subject><subject>Diagnosis, Differential</subject><subject>Germ cell tumors</subject><subject>Head and Neck Neoplasms - diagnosis</subject><subject>Head and Neck Neoplasms - secondary</subject><subject>Humans</subject><subject>Lymphadenopathy</subject><subject>Lymphatic Diseases - pathology</subject><subject>Male</subject><subject>Metastasis</subject><subject>Neoplasms, Unknown Primary - diagnosis</subject><subject>Neoplasms, Unknown Primary - drug therapy</subject><subject>Neoplasms, Unknown Primary - pathology</subject><subject>Seminoma - drug therapy</subject><subject>Seminoma - pathology</subject><subject>Seminoma - secondary</subject><subject>Testicular Neoplasms - diagnosis</subject><subject>Testicular Neoplasms - drug therapy</subject><subject>Testicular Neoplasms - pathology</subject><subject>Tomography, X-Ray Computed</subject><issn>0145-5613</issn><issn>1942-7522</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kU9v1DAQxS0EokvpF-CAIg69pbUdO06O1Yo_lbZwaDlHs8544yqxF9sp2m-Pl12pFCrkg6Xx770ZvyHkHaMXjCl1SZmQsmYVFbSpKJVMvSAL1gpeKsn5S7LYA-WeOCFvYrynNBdq9pqcMMla2TRiQb7eYIKYIFld3OJknZ-g-GnTUCwxPFgNY7HaTdsBenR-C2nYFRCLNGBx7Wyy-fkGnDX428K7t-SVgTHi2fE-Jd8_fbxbfilX3z5fL69WpRZVpUpusG4YpcrIutEV46zSxug1clCsbmSNkst1DywPL1qAdU-FoUqIvjZStaY6JecH323wP-bcvZts1DiO4NDPsVOcciGbKoMf_gLv_Rxcnq3jtK1ktm8yVB6gDYzYWWd8CqA36DDA6B0am8tXOXPJFZMy8xfP8Pn0OUH9rOD8D8GAMKYh-nHeRxafgvwA6uBjDGi6bbAThF3HaLdfevfv0rPo_fGP83rC_lFy3HIGLg9AhA0-BvAfy19SkLFV</recordid><startdate>200405</startdate><enddate>200405</enddate><creator>Akst, Lee M.</creator><creator>Discolo, Christopher</creator><creator>Dipasquale, Bruno</creator><creator>Greene, David</creator><creator>Roberts, Jay</creator><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200405</creationdate><title>Metastatic Seminoma with Cervical Lymphadenopathy as the Initial Manifestation</title><author>Akst, Lee M. ; 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subjects | Aged Biopsy, Fine-Needle Care and treatment Diagnosis, Differential Germ cell tumors Head and Neck Neoplasms - diagnosis Head and Neck Neoplasms - secondary Humans Lymphadenopathy Lymphatic Diseases - pathology Male Metastasis Neoplasms, Unknown Primary - diagnosis Neoplasms, Unknown Primary - drug therapy Neoplasms, Unknown Primary - pathology Seminoma - drug therapy Seminoma - pathology Seminoma - secondary Testicular Neoplasms - diagnosis Testicular Neoplasms - drug therapy Testicular Neoplasms - pathology Tomography, X-Ray Computed |
title | Metastatic Seminoma with Cervical Lymphadenopathy as the Initial Manifestation |
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