Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/24531
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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