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
Hauptverfasser: Akst, Lee M., Discolo, Christopher, Dipasquale, Bruno, Greene, David, Roberts, Jay
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container_issue 5
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container_title Ear, nose, & throat journal
container_volume 83
creator Akst, Lee M.
Discolo, Christopher
Dipasquale, Bruno
Greene, David
Roberts, Jay
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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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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