PEComa of soft tissues can mimic lymph node relapse in patients with history of testicular seminoma.
Can Urol Assoc J
; 7(9-10): E651-3, 2013.
Article
en En
| MEDLINE
| ID: mdl-24454592
ABSTRACT
Perivascular Epithelioid Cell tumour (PEComa) is rare. We describe a 39-year-old man who underwent a left radical orchidectomy and adjuvant radiation therapy for a stage IA classical testicular seminoma. He was diagnosed with a mass lateral to the right common iliac artery that was considered suspicious for late lymph node relapse after 3 years of follow-up. Due to the unusual location of the mass and the equivocal findings of percutaneous biopsy, a laparoscopic pelvic lymphadenectomy was performed. Final pathology revealed PEComa of soft tissue. The patient is disease-free after 38 months of follow-up without adjuvant treatment. The presence of rare soft-tissue neoplasm should be considered in differential diagnosis of retroperitoneal masses during follow-up of germ cell tumours. Suspicious isolated recurrences of these neoplasms in unusual locations can require surgical excision to confirm diagnosis and avoid inappropriate treatment.
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MEDLINE
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En
Revista:
Can Urol Assoc J
Año:
2013
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Article
País de afiliación:
Italia