Juul Marie Louise, Rasmussen Eva Rye
Ugeskr Laeger. 2017 May 15;179(20).
The incidence of metastases to the neck in testicular cancer is 4-15%, and in 5% of these cases the metastasis is the only symptom. We present a 57-year-old asymptomatic male, who had previously been treated for colon cancer. A routine PET-CT showed enlarged lymph nodes in the retroperitoneum and at the neck. A core needle biopsy from the lymph node at the neck contained malignant cells, but not from colon cancer. The lymph node was extirpated, and pathological analysis proved it to be a metastasis from a testicular seminoma. A burned-out seminoma was subsequently found in the patient's right testicle.
睾丸癌转移至颈部的发生率为4%-15%，其中5%的病例转移是唯一症状。我们报告一例57岁无症状男性，其既往曾接受过结肠癌治疗。常规PET-CT显示腹膜后和颈部淋巴结肿大。颈部淋巴结的粗针活检发现有恶性细胞，但并非来自结肠癌。该淋巴结被切除，病理分析证实为睾丸精原细胞瘤转移。随后在患者右侧睾丸发现了一个消退型精原细胞瘤。
