Intra-abdominal desmoid tumor following retroperitoneal lymph node dissection for testicular germ cell tumor. Int J Urol 2006 Jan;13(1):84-6
Date
02/02/2006Pubmed ID
16448440DOI
10.1111/j.1442-2042.2006.01231.xScopus ID
2-s2.0-33645211423 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
In the testicular cancer post-treatment setting a rapidly growing retroperitoneal mass leads to a differential diagnosis including recurrent germ cell tumor, residual mature teratoma, or sarcomatoid degeneration. We report the case of a 27-year-old man with a large abdominal mass occurring in the setting of a mixed germ cell tumor after radical orchiectomy with primary chemotherapy followed by retroperitoneal lymph node dissection. Surgical excision of this mass followed by pathological review revealed an intra-abdominal desmoid tumor. Fluorescence in situ hybridization (FISH) for isochromosome 12p failed to demonstrate a germ cell tumor origin. This is the fourth such case of an intra-abdominal desmoid tumor after retroperitoneal lymph node dissection for testicular cancer in the urologic literature. This case highlights the need for careful consideration of a desmoid tumor when a rapidly growing spindle cell tumor is encountered in a post-treatment testis cancer patient.
Author List
Lawatsch EJ, Datta MW, Van Tuinen P, Sudakoff GS, Davis NB, Langenstroer PAuthor
Peter Langenstroer MD Professor in the Urology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Abdominal NeoplasmsAdult
Diagnosis, Differential
Follow-Up Studies
Humans
Laparotomy
Lymph Node Excision
Male
Neoplasms, Germ Cell and Embryonal
Orchiectomy
Retroperitoneal Space
Testicular Neoplasms
Tomography, X-Ray Computed
