Abstract:
:Two cases of occult seminoma were observed which showed left-sided lymph node metastases without clinically demonstrable testicular tumors. The peculiar histology of the lymph node metastases, namely PAS-positive tumor cells with clear cytoplasm together with a granulomatous stromal reaction, was highly suggestive of seminoma. Despite lack of testicular enlargement in both cases, a left-sided orchiectomy was done. Histologically, intratubular seminomas were found which confirmed the original diagnostic suspicions derived from the morphology of the lymph node metastases. It is concluded, therefore, that in the case of lymph node metastases with the above-mentioned structure, occult seminoma should always be taken into consideration. Because of the modern beneficial therapeutic implications, detection of occult seminoma is very important.
journal_name
Cancerjournal_title
Cancerauthors
Richter HJ,Leder LDdoi
10.1002/1097-0142(197907)44:1<245::aid-cncr2820440subject
Has Abstractpub_date
1979-07-01 00:00:00pages
245-9issue
1eissn
0008-543Xissn
1097-0142journal_volume
44pub_type
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