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Title: | Mesenteric metastases from mature teratoma of the testis: A case report. | Austin Authors: | Loh, Zoe ;Manning, Todd G ;O'Brien, Jonathan S;Perera, Marlon ;Lawrentschuk, Nathan | Affiliation: | The Young Urology Researchers Organisation (YURO), Australia Faculty of Medicine, University of Queensland, Brisbane, Australia Surgery (University of Melbourne) Olivia Newton-John Cancer Research Institute Department of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia |
Issue Date: | Jul-2020 | Date: | 2018-06-05 | Publication information: | Asian Journal of Urology 2020; 7(3): 322-325 | Abstract: | 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. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/24531 | DOI: | 10.1016/j.ajur.2018.05.007 | Journal: | Asian Journal of Urology | PubMed URL: | 32742933 | ISSN: | 2214-3882 | Type: | Journal Article | Subjects: | Mesentery Metastases Nonseminomatous germ cell tumour Retroperitoneal lymph node dissection Testicular cancer |
Appears in Collections: | Journal articles |
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