İnguinal Lenf Nodu Metastazı Olan Burned-Out Testiküler Kanser: Olgu Sunumu

Year 2016, Volume: 1 Issue: 1, 35 - 37, 25.08.2016

Selçuk Sarıkaya , Cihat Özcan Erman Damar Gülçin Güler Şimşek Ömer Faruk Bozkurt Öztuğ Adsan

Abstract

Testiküler kanserler, tüm erkeklerde görülen malignitelerin % 1 ini oluşturan nadir görülen tümörlerdir.”- Burned-out testüküler kanser” germ hücreli tümörlerin ekstragonadal metastazı ve primer lezyonun spontan regresyonu için kullanılan bir terminolojidir. Bu olguda inguinal lenf nodu metastazı ile birlikte burned-out testiküler tümörü olan 33 yaşında erkek hastayı sunmayı amaçladık. Hastaya sol yüksek inguinal orşiektomi operasyonu uygulandı.

Patolojisi burned-out germ hücreli tümör olarak raporlandı. Makroskopik incelemede hiyalinize skar benzeri lezyon gözlendi ve mikroskopik olarak tümör gözlenmedi. Uygun tedavi yaklaşımı açısından intragonaldal ve ekstragonadal testis tümörlerinin tanısının konulması çok önemlidir.

Keywords

out, metastaz, testis, kanser

Burned-Out Testicular Tumor With Inguinal Lymph Node Metastasis: A Case Report

Abstract

Testicular cancer is rarely seen cancer and constitutes nearly 1% of all male cancers. The ‘burned-out testicular tumor’ term is used for presence of extragonadal metastasis of germ cell tumor and the spontaneous regression of the primary lesion. In this case we aimed to present a 33 year-old male patient with burned-out testicular tumor with inguinal lymph node metastasis. Left high inguinal orchidectomy operation was performed for this patient.

The pathology result was reported as burned-out germ cell tumor. On gross, a hyalinised scar-like lesion was reported and any tumor never been observed microscopically. The diagnosis of intragonadal and extragonadal testicular tumors are very important for arranging the appropriate treatment.

Keywords

burned-out, metastatic, testis, cancer

References

• 1- Hamid AR, Umbas R. Metastasis of testicular carcinoma in the inguinal region. Acta Med Indones. 2009;41:25-9.
• 2- Shah S, Bakshi H. Inguinal lymphnode metastatic teesticular seminoma: a case report and review of literatüre. Indian J Surg Oncol. 2012;3:38-40.
• 3- Balalaa N, Selman M, Hassen W. Burned-out testicular tumor: a case report. Case Rep Oncol. 2011;4:12-5.
• 4- Peroux E, Thome A, Geffroy Y, et al. Burned-out tumour: a case report. Diagn Interv Imaging. 2012;93:796-8.
• 5- Ha HK, Jung SG, Park SW, Lee W, Lee SD, Chung MK. Retroperitoneal seminoma with the burned-out phenomenon in the testis. Korean J Urol. 2009;50:516-9.
• 6- Budak S, Celik O, Turk H, SuelozgenT, Ilbey YO. Extragonadal germ cell tumor with the ‘’burned-out’’ phenomenon presented a multiple retroperitoneal masses: a case report. Asian J Androl. 2015;17:163-4.
• 7- Wheeler JS, Babayan RK, Hong WK, Krane RJ. Inguinal node metastases from testicular tumors in patients with prior orchiopexy. J Urol. 1983;129:1245-7.
• 8- Ozluk Y. ‘Burned-out’ testiküler germ hücreli tümörler. Üronkoloji Bülteni. 2014;13:223-7.
• 9- Kontos S, Doumanis G, Karagianni M, et al. Burned-out testicular tumor with retroperitoneal lymph node metastasis: a case report. J Med Case Rep. 2009;3:8705.
• 10- Balzer BL, Ulbright TM. Spontaneous regressionof testicular germ cell tumors: an analysisof 42 cases. Am J Surg Pathol. 2006;30:858-65.