Crawford Charles K, Yasrab Mohammad, Fishman Elliot K
Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Radiol Case Rep. 2024 Nov 30;20(2):1124-1129. doi: 10.1016/j.radcr.2024.11.020. eCollection 2025 Feb.
Seminoma is a malignant germ cell tumor that primarily develops in the testis but can occur in other extragonadal areas, most commonly the mediastinum and retroperitoneum. While generally offering a favorable prognosis, seminomas can sometimes clinically present with misleading characteristics resulting in delayed diagnosis. In this article, we report the case of a 31-year-old male diagnosed with grade IIIC intermediate risk testicular seminoma cTxN3M1bSx, who presented initially with a palpable cervical mass. We focus on the use of radiological modalities for an optimized diagnosis by coordinating our imaging with pathological findings and clinical presentation.
精原细胞瘤是一种恶性生殖细胞肿瘤，主要发生于睾丸，但也可出现在其他性腺外区域，最常见于纵隔和腹膜后。虽然精原细胞瘤总体预后良好，但有时在临床上会表现出具有误导性的特征，导致诊断延迟。在本文中，我们报告了一例31岁男性患者，诊断为IIIC期中间风险睾丸精原细胞瘤cTxN3M1bSx，该患者最初表现为可触及的颈部肿块。我们通过将影像学检查结果与病理结果及临床表现相结合，重点探讨了利用放射学检查手段进行优化诊断。
