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  • Title: [Testicular tumor with opposite inguinal lymph node metastasis in a patient with prior orchiopexy for undescended testis].
    Author: Hayashi K, Fukagai T, Morita M, Igarashi A, Kushima M.
    Journal: Hinyokika Kiyo; 2015 Jan; 61(1):23-6. PubMed ID: 25656016.
    Abstract:
    The patient was a 54-year-old man. At age 6 years, he had undergone orchiopexy for left undescended testis. Six months prior to the current presentation, he visited our hospital with a chief complaint of painless enlargement of the left testis. Left high orchiectomy was performed under a diagnosis of left testicular tumor. Histopathological examination determined the tumor to be a seminoma (pT2). Postoperatively, the patient was placed on surveillance without preventive radiation treatment. He visited our hospital six months after surgery due to a painless mass in the right inguinal region. All tumor markers (AFP, HCG-β, and LDH) were within normal ranges. However, based on ultrasound and CT scan findings, lymph node metastasis was suspected and a right inguinal lymph node excision was thus performed. Histopathological examination led to the diagnosis of seminoma.
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