DOI: 10.36347/sjams.2016.v04i03.019

Pages: 727-728

In testicular malignancy, the incidence of neck metastases range from 4.5 to 15% and in an estimated 5% of these cases, a neck mass is the initial presentation. We present a case of testicular seminoma which presented with a neck mass. Initial diagnosis was offered from FNAC of the neck node(left supraclavicular) and later confirmed on histopathological examination of the inguinal testis. A 27 year old male presented with swelling in the neck of 2 months duration. CT scan of the neck reported a necrotic nodal lesion. FNAC from the cervical node showed highly cellular smear comprising of pleomorphic cells arranged singly and in clusters in a tigroid background along with few mature lymphocytes and possibility of seminoma was suggested. USG abdomen was done and revealed a testicular mass with retroperitoneal nodes. On histopathological examination, diagnosis of seminoma was confirmed. Metastatic seminoma must be kept in mind in the differential diagnosis of cervical lymphadenopathy in a male patient as it may aid in the diagnosis of an unsuspected primary testicular tumor in many cases.