Journal article

Mesenteric metastases from mature teratoma of the testis: A case report

Zoe Loh, Todd G Manning, Jonathan S O'Brien, Marlon Perera, Nathan Lawrentschuk

Asian Journal of Urology | ELSEVIER SINGAPORE PTE LTD | Published : 2020


Metastatic spread of testicular cancer has been well documented, with 95% of cases involving para-aortic retroperitoneal lymph nodes. Mesenteric lymphatic basins do not lie within the canonical drainage pathway of the testes and represent a rare site of metastasis. Various mechanisms of spread to the mesentery have been described, including direct extension and haematogenous dissemination. We present a case of a previously-well 43-year-old man who presented with right scrotal discomfort and intermittent lower back pain, who was found to have mesenteric metastases from a non-seminomatous germ cell tumour of the testis. Managing lymphadenopathy that lies outside of standard resection templates..

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