Rathmell A J, Mapstone N P, Jones W G
Department of Radiotherapy and Oncology, Yorkshire Regional Centre for Cancer Treatment, Cookridge Hospital, Leeds, UK.
Clin Oncol (R Coll Radiol). 1993;5(3):185-6. doi: 10.1016/s0936-6555(05)80325-5.
Patients presenting with Stage I seminoma of the testis have an excellent prognosis after treatment by orchidectomy and prophylactic radiotherapy to the paraaortic and pelvic lymph nodes. Only 2% subsequently recur but relapse in these cases has been reported in unusual sites such as the prostate and mesentery. We report a case of Stage I seminoma relapsing in another rare site for secondary malignant deposits, the palatine tonsil. This case further illustrates the favourable prognosis for this tumour even in cases of distant recurrence.