<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852023000600006</article-id>
<article-id pub-id-type="doi">10.48193/589z0w20</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Metástasis inguinal de cáncer testicular. Reporte de dos casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Inguinal metastases of testicular cancer. Report of two cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Remil]]></surname>
<given-names><![CDATA[Lara Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Carlos Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[Nicolas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vásquez Urueta]]></surname>
<given-names><![CDATA[Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arbizu]]></surname>
<given-names><![CDATA[Micaela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Barrios]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barreiro Martín]]></surname>
<given-names><![CDATA[Diego]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Graziano]]></surname>
<given-names><![CDATA[Claudio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Agudos Carlos G. Durand  ]]></institution>
<addr-line><![CDATA[Buenos Aries ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>83</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852023000600006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852023000600006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852023000600006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción del caso:  Presentamos dos reportes de caso de pacientes con cáncer testicular asociado a masas inguinales. En primer lugar, un varón de 28 años de edad con antecedente de orquidopexia bilateral que se presenta con una adenopatía inguinal derecha abscedada y una masa testicular izquierda. La biopsia de la lesión inguinal reveló un teratoma. El segundo caso es un paciente de 52 años con antecedente de orquidopexia bilateral y orquidofuniculectomía derecha por seminoma. En el control posquirúrgico se realizó un PET que reveló una masa captante inguinal derecha. La biopsia evidencia metástasis de seminoma.  Relevancia:  Debido a la anatomía del drenaje linfático de los testículos, el primer sitio de diseminación son los ganglios retroperitoneales. Dicho drenaje se modifica en pacientes con antecedente de cirugía inguino-escrotal, generándose anastomosis con los vasos inguinales.  Implicaciones clínicas:  Si bien el cáncer testicular se disemina hacia los nodos retroperitoneales, en los raros casos en los que se presentan masas inguinales asociadas, estas se consideran metástasis a distancia, cambiando el estadio del paciente.  Conclusión: Aunque las metástasis inguinales en el cáncer testicular son raras, pueden presentarse en pacientes con antecedente de cirugía escrotal, debiendo ser consideradas como metástasis regionales y no a distancia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Case description:  We present a series of two cases of patients presenting testicular cancer associated to inguinal masses. First, a 28 year-old male with history of bilateral orchidopexy presenting a right abscessed inguinal mass associated to a left testicular mass. Teratoma was diagnosed by the pathological anatomy. The second case is a 52 year-old male patient with a history of bilateral orchidopexy and right inguinal orchiectomy due to seminoma. A PET scan obtained during follow-up, showed a right inguinal mass with enhanced tracer uptake. A biopsy of such mass was performed, reporting metastasis of seminoma.  Relevance:  Due to the anatomy of the lymphatic drainage of the testes, retroperitoneal nodes constitute the first station for metastases. However, this drainage is modified in patients with history of inguinal or scrotal surgery, as anastomosis with inguinal vessels are formed.  Clinical implication:  Even though testicular cancer spreads through the lymphatic system to retroperitoneal nodes, in the rare cases that inguinal masses occur, these are considered as distant metastasis, changing the patient´s stage.  Conclusion:  Although inguinal metastases in testicular cancer are infrequent, they can be present in patients who underwent scrotal surgery. These should be considered as regional and not distant metastases.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Testicular cancer]]></kwd>
<kwd lng="en"><![CDATA[inguinal mass]]></kwd>
<kwd lng="en"><![CDATA[lymph abnormalities]]></kwd>
<kwd lng="es"><![CDATA[Cáncer testicular]]></kwd>
<kwd lng="es"><![CDATA[masa inguinal]]></kwd>
<kwd lng="es"><![CDATA[anomalías linfáticas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="">
<collab>American Cancer Society</collab>
<source><![CDATA[Testicular Cancer | Testicular Tumor]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patrikidou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cazzaniga]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Berney]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Boormans]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Angst]]></surname>
<given-names><![CDATA[I de]]></given-names>
</name>
<name>
<surname><![CDATA[Nardo]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[European Association of Urology Guidelines on Testicular Cancer: 2023 Update]]></article-title>
<source><![CDATA[European Urology]]></source>
<year>2023</year>
<volume>84</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>289-301</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Daugaard]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Karas]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Sommer]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inguinal metastases from testicular cancer]]></article-title>
<source><![CDATA[BJU international]]></source>
<year>2006</year>
<volume>97</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>724-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jamieson]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
<name>
<surname><![CDATA[Dobson]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[THE LYMPHATICS OF THE TESTICLE]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>1910</year>
<volume>175</volume>
<numero>4512</numero>
<issue>4512</issue>
<page-range>493-5</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wheeler]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Babayan]]></surname>
<given-names><![CDATA[RK]]></given-names>
</name>
<name>
<surname><![CDATA[Hong]]></surname>
<given-names><![CDATA[WK]]></given-names>
</name>
<name>
<surname><![CDATA[Krane]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inguinal node metastases from testicular tumors in patients with prior orchiopexy]]></article-title>
<source><![CDATA[The Journal of Urology]]></source>
<year>1983</year>
<volume>129</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1245-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Corby]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Lynch]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Fitzpatrick MCh]]></surname>
<given-names><![CDATA[J m.]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[J m]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inguinal lymph node metastases from a testicular tumour]]></article-title>
<source><![CDATA[British Journal of Urology]]></source>
<year>1996</year>
<volume>77</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>923-4</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Herr]]></surname>
<given-names><![CDATA[HW]]></given-names>
</name>
<name>
<surname><![CDATA[Silber]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of inguinal lymph nodes in patients with testicular tumors following orchiopexy, inguinal or scrotal operations]]></article-title>
<source><![CDATA[The Journal of Urology]]></source>
<year>1973</year>
<volume>110</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>223-4</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mianné]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Barnaud]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Altobelli]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Masson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Valeri]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inguinal lymphatic metastasis of cancer of the testis: staging and therapeutic approach]]></article-title>
<source><![CDATA[Annales D&#8217;urologie]]></source>
<year>1991</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>199-202</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
