Metastatic seminoma presenting as neck and axillary lymphadenopathy in an elderly man

Yohannan, Binoy; Omo-Ogboi, Allen C; Kachira, Johncy John; Jafri, Syed Hasan Raza

doi:10.1080/08998280.2023.2167184

Cited by 1 publication

(1 citation statement)

References 11 publications

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“…Patients commonly present after discovering firmness, swelling, or nodularity in their testis or scrotum. Less commonly, seminoma may present with non-classical symptoms related to metastasis such as feelings of heaviness in their pelvis, back pain, cough, or even neurological symptoms, which might represent retroperitoneal lymph node, lung, or central nervous system (CNS) involvement [4,5].…”

Section: Seminoma Presentation and Classificationmentioning

confidence: 99%

Incidental discovery of seminoma after simple orchiectomy in transgender individuals: A case series

Tausinga,

Snyder,

Mahlow

et al. 2023

J Case Rep Images Urol

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Introduction: Seminoma is a common malignancy reported in young, cisgender men. However, there is sparse literature describing cases of seminoma in the transgender and gender diverse patient population. Case Series: We present two cases of seminoma incidentally discovered after simple bilateral orchiectomy performed as part of genital gender affirming surgery. In both instances, patients had not reported any testicular firmness or abnormality prior to surgery. After a thorough literature review, only two other such cases have been reported. Herein, we discuss our two cases and their implications for surgical management of suspected testicular malignancy intraoperatively, a methodical inspection of testicles removed during gender affirming surgery and providing affirming care when navigating discussions of genitalia with transgender and gender diverse patients. Conclusion: Testicular malignancy such as seminoma may be found incidentally when transgender and gender diverse patients undergo genital gender affirming surgery. Thus, special attention is required to identify suspicious exam findings, adjust surgical techniques as indicated, and properly examine surgical specimens. As there is a significant paucity of literature surrounding testicular malignancies in the transgender and gender diverse patient population, it is crucial to continue to investigate how to provide affirming care in these situations.

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Section: Seminoma Presentation and Classificationmentioning

confidence: 99%