KBB-Forum 2007 , Cilt 6, Sayı 3

SUPRACLAVICULAR LYMPH NODE METASTASIS OF NONSEMINOMATOUS TESTICULAR CARCINOMA

Ozan Bağış ÖZGÜRSOY, MD1; Kadriye Şerife BOYNUKALIN, MD1; Ebru EROL, MD2; Sümer BALTACI, MD3; İrfan YORULMAZ, MD1
1Ankara University Faculty of Medicine, Department of Otorhinolaryngology, Ankara, Turkey
2Ankara University Faculty of Medicine, Department of Pathology, Ankara, Türkiye
3Ankara University Faculty of Medicine, Department of Urology, Ankara, Türkiye
The patients with nonseminomatous testicular carcinoma generally undergo orchiectomy and cisplatin based chemotheraphy. If a residual or metastatic disease is noticed anywhere despite the therapy, it should be treated by definitive surgery in order to control the primary disease and to avoid fatal complications. When a metastasis to the cervical lymph nodes is encountered at the time of initial diagnosis or during the follow-up, head and neck surgeons rarely take part in the diagnosis and surgical treatment of testicular carcinoma,. In this study, we presented a case of nonseminomatous testicular carcinoma appearing as a left supraclavicular mass one year after chemotheraphy without evidence of residual disease in other sites. We also discussed the effectivity and safety of selective neck dissection for such a young patient with testicular carcinoma. Keywords : Testicular carcinoma, metastasis, selective neck dissection