Mesenteric metastases from mature teratoma of the testis: A case report
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 th...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-07-01
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| Series: | Asian Journal of Urology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388218300389 |
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| author | Zoe Loh Todd G. Manning Jonathan S. O'Brien Marlon Perera Nathan Lawrentschuk |
| author_facet | Zoe Loh Todd G. Manning Jonathan S. O'Brien Marlon Perera Nathan Lawrentschuk |
| author_sort | Zoe Loh |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e93efd56c9f7472f90910d8139964dd8 |
| institution | DOAJ |
| issn | 2214-3882 |
| language | English |
| publishDate | 2020-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj-art-e93efd56c9f7472f90910d8139964dd82025-08-20T03:04:00ZengElsevierAsian Journal of Urology2214-38822020-07-017332232510.1016/j.ajur.2018.05.007Mesenteric metastases from mature teratoma of the testis: A case reportZoe Loh0Todd G. Manning1Jonathan S. O'Brien2Marlon Perera3Nathan Lawrentschuk4Department of Surgery, University of Melbourne, Austin Health, Melbourne, Australia; The Young Urology Researchers Organisation (YURO), AustraliaDepartment of Surgery, University of Melbourne, Austin Health, Melbourne, Australia; The Young Urology Researchers Organisation (YURO), Australia; Corresponding author. Department of Surgery, Austin Health, Melbourne, Australia.Department of Surgery, University of Melbourne, Austin Health, Melbourne, Australia; The Young Urology Researchers Organisation (YURO), AustraliaDepartment of Surgery, University of Melbourne, Austin Health, Melbourne, Australia; The Young Urology Researchers Organisation (YURO), Australia; Faculty of Medicine, University of Queensland, Brisbane, AustraliaDepartment of Surgery, University of Melbourne, Austin Health, Melbourne, Australia; Faculty of Medicine, University of Queensland, Brisbane, Australia; Department of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia; Olivia Newton-John Cancer Research Institute, Melbourne, AustraliaMetastatic 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.http://www.sciencedirect.com/science/article/pii/S2214388218300389Nonseminomatous germ cell tumourRetroperitoneal lymph node dissectionMesenteryMetastasesTesticular cancer |
| spellingShingle | Zoe Loh Todd G. Manning Jonathan S. O'Brien Marlon Perera Nathan Lawrentschuk Mesenteric metastases from mature teratoma of the testis: A case report Asian Journal of Urology Nonseminomatous germ cell tumour Retroperitoneal lymph node dissection Mesentery Metastases Testicular cancer |
| title | Mesenteric metastases from mature teratoma of the testis: A case report |
| title_full | Mesenteric metastases from mature teratoma of the testis: A case report |
| title_fullStr | Mesenteric metastases from mature teratoma of the testis: A case report |
| title_full_unstemmed | Mesenteric metastases from mature teratoma of the testis: A case report |
| title_short | Mesenteric metastases from mature teratoma of the testis: A case report |
| title_sort | mesenteric metastases from mature teratoma of the testis a case report |
| topic | Nonseminomatous germ cell tumour Retroperitoneal lymph node dissection Mesentery Metastases Testicular cancer |
| url | http://www.sciencedirect.com/science/article/pii/S2214388218300389 |
| work_keys_str_mv | AT zoeloh mesentericmetastasesfrommatureteratomaofthetestisacasereport AT toddgmanning mesentericmetastasesfrommatureteratomaofthetestisacasereport AT jonathansobrien mesentericmetastasesfrommatureteratomaofthetestisacasereport AT marlonperera mesentericmetastasesfrommatureteratomaofthetestisacasereport AT nathanlawrentschuk mesentericmetastasesfrommatureteratomaofthetestisacasereport |