Inguinal lymph node metastasis of seminoma 18 years after initial treatment: A case report

Shinichi Yamashita, Yukihiko Ogata, Sadafumi Kawamura, Tatsuo Tochigi, Hiroo Tateno, Masaaki Kuwahara

Research output: Contribution to journalArticlepeer-review


Late relapse of testicular tumor is rare. We report a case of recurrence of seminoma at left inguinal lymph node 18 years after initial treatment. A 63-year-old man had a left orchiectomy for left testicular tumor (T1N0M0) in February 1985, with no past history of scrotal or inguinal surgery. Histological examination revealed seminoma (pT1), and prophylactic radiotherapy (34.2 Gy) to para-aortic and left hemi-pelvic regions was perfomed. In November 2003, the patient presented with left inguinal swelling, and was referred to our hospital with suspicion of metastasis to left inguinal lymph nodes. Serum markers (AFP, hCG, hCGβ and LDH) were normal. Computerized tomography (CT) showed three masses in the left inguinal region, but no other abnormal mass was detected at chest, abdomen or pelvis. Lymphoidectomy of the left inguinal region was perfomed in January 2004, and the mass revealed to be metastasis of seminoma by histological examination.

Original languageEnglish
Pages (from-to)21-24
Number of pages4
JournalJapanese Journal of Urology
Issue number1
Publication statusPublished - 2005 Jan
Externally publishedYes


  • Late relapse
  • Seminoma
  • Testicular tumor

ASJC Scopus subject areas

  • Urology


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