CLINICAL REPORT   

Chirurgia 2001 February;14(1):55-8

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: Italian

Seminoma metastasis. A particular clinical case

Campanelli G., Bastazza M., Ruca A., Senni Buratti M., Casirani R., Nicolosi F. M.

Cryptorchidism, if not surgically corrected within the fifth year of life, is one of the main internationally related risk for testicular neoplasia. The authors describe a case of lymphatic metastasis in the inguinal area due to testicular seminoma in a patient who had undergone surgery for inguinal hernia using Bassini's technique and correction of homolateral cryptorchidism. The patient, evaluated as advanced stage II, was submitted to radical inguinal orchiectomy and to chemotherapy with PEB; either immediately after surgery or at present, all parameters were found to be negative. A careful analysis of the limited metastatic diffusion of the tumour is made by taking into consideration the anatomical overturning of lymphatic drainage of the area due to surgery. As far as advanced stage is concerned, the importance of chemotherapy by taking into consideration both TNM and S parameters is also underlined. The conclusion is drawn stressing the importance of starting prevention and testicular selfpalpation programs on high risk patients and particularly on those who had surgery for cryptorchidism.