Supraclavicular Neck Mass as Sole Presenting Symptom for Seminoma in an Elderly Male

Bond, Justin R.; Tilley, Michelle; Amin, Sapna Vinit; Larsen, Christopher G.

doi:10.4236/ijohns.2013.24027

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Wood et al demonstrated that cervical metastasis is almost exclusively left-sided, with 21 of 23 patients showing disease in supraclavicular or scalene lymph nodes [ 28 ]. Metastatic tumors can also appear in locations outside of the direct line of spread from the primary site [ 29 ]. A review by Vledder reported that 4 % of seminoma patients showed cervical metastasis and that only 5 % of these patients had the neck mass as their initial disease sign [ 30 ].…”

Section: Case Presentationmentioning

confidence: 99%

Metachronous testicular seminoma after radiotherapy and chemotherapy: a case report

et al. 2016

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BackgroundBilateral testicular neoplasia is rare, with an incidence ranging from 1 to 5 %. Long-term survival has improved in recent years due to advanced diagnostic approaches and new therapeutic methods that are highly effective against germ cell tumors.Case presentationWe present the case of a patient with a primary seminomatous testicular tumor, who developed a contralateral metastasis and a subsequent metachronous tumor following chemotherapy and consolidation radiotherapy treatment.ConclusionsStrict follow-up, including physical examination and ultrasound examination of the contralateral testis, enabled early diagnosis of the second tumor, giving the patient a high likelihood of a definitive cure.

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Section: Case Presentationmentioning

confidence: 99%

Metachronous testicular seminoma after radiotherapy and chemotherapy: a case report

et al. 2016

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Supraclavicular left neck mass: an unusual presentation of metastatic testicular cancer in two older men

et al. 2020

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Two male patients, aged 55 and 75 years, were referred to the ENT and haematology team respectively, with an asymptomatic left supraclavicular neck mass. Investigations revealed metastatic primary testicular seminoma. CT contrast study of the thorax, abdomen and pelvis demonstrated an additional left para-aortic nodal mass in both cases. The initial presentation of a solitary left neck lump from a metastatic testicular seminoma is extremely unusual, especially in an older age group. The pattern of metastatic spread to the supraclavicular neck nodes from a single para-aortic lymph node is also an interesting finding. Although the majority of seminomas present in younger patients in the early stages when confined to the testis, seminoma can also occur in older patients and can present in an atypical manner. The ability to recognise an atypical presentation in an older patient is invaluable for prompt diagnosis, treatment and follow-up of disease. This case also highlights the importance of a multisystematic structured and an open-minded approach to investigating and diagnosing a neck mass.

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Supraclavicular Neck Mass as Sole Presenting Symptom for Seminoma in an Elderly Male

Cited by 2 publications

References 5 publications

Metachronous testicular seminoma after radiotherapy and chemotherapy: a case report

Metachronous testicular seminoma after radiotherapy and chemotherapy: a case report

Supraclavicular left neck mass: an unusual presentation of metastatic testicular cancer in two older men

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