Abstract | BACKGROUND: INVESTIGATIONS: DIAGNOSIS: A 1.7 cm nodule anterior to the right psoas muscle suspicious for metastatic disease that was seen on CT 16 months after orchiectomy was pathologically confirmed as recurrent mature teratoma in the spermatic cord. Additionally, one of eleven interaortocaval lymph nodes showed evidence of teratoma. MANAGEMENT: Bilateral nerve-sparing retroperitoneal lymph node dissection with complete excision of the right spermatic cord was performed. The patient has since remained disease-free, with normal levels of serum tumor markers and no evidence of metastasis on chest X-ray and abdominal CT.
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Authors | Vairavan S Subramanian, Timothy Gilligan, Eric A Klein |
Journal | Nature clinical practice. Urology
(Nat Clin Pract Urol)
Vol. 5
Issue 4
Pg. 220-3
(Apr 2008)
ISSN: 1743-4289 [Electronic] United States |
PMID | 18268549
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Chorionic Gonadotropin
- alpha-Fetoproteins
|
Topics |
- Adult
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Chorionic Gonadotropin
(blood)
- Disease Management
- Genital Neoplasms, Male
(pathology, therapy)
- Humans
- Lymph Node Excision
- Lymphatic Metastasis
- Male
- Neoplasm Recurrence, Local
(therapy)
- Neoplasms, Germ Cell and Embryonal
(pathology, surgery)
- Orchiectomy
- Spermatic Cord
(pathology, surgery)
- Teratoma
(pathology, therapy)
- alpha-Fetoproteins
(analysis)
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