Mesenteric metastases from mature teratoma of the testis:A case report
作者机构：Department of SurgeryUniversity of MelbourneAustin HealthMelbourneAustralia The Young Urology Researchers Organisation(YURO)Australia Faculty of MedicineUniversity of QueenslandBrisbaneAustralia Department of Surgical OncologyPeter MacCallum Cancer CentreMelbourneAustralia Olivia Newton-John Cancer Research InstituteMelbourneAustralia
出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)
年 卷 期：2020年第7卷第3期
页 面：322-325页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Nonseminomatous germ cell tumour Retroperitoneal lymph node dissection Mesentery Metastases Testicular cancer
摘 要：Metastatic spread of testicular cancer has been well documented,with 95% of cases involving para-aortic retroperitoneal lymph nodes.Mesenteric lymphatic basins do not lie within the canonical drainage pathway of the testes and represent a rare site of metastasis.Various mechanisms of spread to the mesentery have been described,including direct extension and haematogenous dissemination.We present a case of a previously-well 43-year-old man who presented with right scrotal discomfort and intermittent lower back pain,who was found to have mesenteric metastases from a non-seminomatous germ cell tumour of the testis.Managing lymphadenopathy that lies outside of standard resection templates remains a complex surgical challenge.Here we present the first case in the English medical literature with co-existing supradiaphragmatic axillary and mediastinal nodal disease.
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