Cervical mass as the first clinical manifestation of unsuspected metastatic seminoma. Issue 3 (June 2018)

• Record Type: Journal Article
• Authors: Ferri, Emanuele; Pedruzzi, Barbara; Gasparin, Pierpaola; Lunghi, Marcello
• Is Part Of: Auris nasus larynx. Volume 45:Issue 3(2018)
• Page Start: 626
• Page End: 629
• Publication Date: 2018-06
• Subjects: Seminoma -- Neck metastasis -- Immunohistochemical study -- Differential diagnosis -- Cervical mass; Otolaryngology -- Periodicals; Electronic journals; 616
• DOI: 10.1016/j.anl.2017.07.015
• Languages: English
• ISSNs: 0385-8146

Abstract

Abstract: The authors reported a case of a 27‐year‐old man with a nontender left neck mass that had grown quite rapidly within few weeks. FNAB and CT were not consistent to establish the definite diagnosis. After excisional biopsy, the histopathological examination and the immunohistochemical study of the specimen revealed a cervical metastasis of seminoma. The patient was treated with chemotherapy with a complete clinical remission. This uncommon case-report can represent a great diagnostic and therapeutic challenge and should be considered in the differential diagnosis of every cervical masses occurring in young males patients. Diagnostic delays are unfortunately common and may lead to metastatic spread and worse prognosis.