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

作　　者：Zoe Loh Todd G.Manning Jonathan S.O’Brien Marlon Perera Nathan Lawrentschuk 

机构地区：[1]Department of Surgery,University of Melbourne,Austin Health,Melbourne,Australia [2]The Young Urology Researchers Organisation(YURO),Australia [3]Faculty of Medicine,University of Queensland,Brisbane,Australia [4]Department of Surgical Oncology,Peter MacCallum Cancer Centre,Melbourne,Australia [5]Olivia Newton-John Cancer Research Institute,Melbourne,Australia

出　　处：《Asian Journal of Urology》2020年第3期322-325,共4页亚洲泌尿外科杂志（英文）

摘　　要：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 remains a complex surgical challenge.Here we present the first case in the English medical literature with co-existing supradiaphragmatic axillary and mediastinal nodal disease.

关 键 词：Nonseminomatous germ cell tumour Retroperitoneal lymph node dissection MESENTERY METASTASES Testicular cancer 

分 类 号：R737.21[医药卫生—肿瘤]