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Journal of Spine & NeurosurgeryISSN: 2325-9701

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Case Report, J Spine Neurosurg Vol: 1 Issue: 2

Never Underestimate the Metastatic Potential of a Rarely Metastasizing Tumor. Thoracic and Epidural Metastasis of a Seminoma

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Athanasios K Petridis 1, Homajoun Maslety1*, Johannes Van de Nes2 and Martin Scholz 1
1Department of Neurosurgery, Duisburg Wedau Hospital, University of Bochum Medical School, Duisburg, Germany
2Institute of Pathology and Neuropathology, University Hospital Essen, Germany
Corresponding author : Athanasios K Petridis
University Hospital Kiel, Germany, Department of Neurosurgery, Duisburg Wedau clinics, Zu den Rehwiesen 9,47055 Duisburg, Germany
Tel: +49-203-733-0; Fax: +49-203-733-0
E-mail: [email protected]
Received: November 14, 2012 Accepted: November 29, 2012 Published: December 03, 2012
Citation: Petridis AK, Maslety H, de Nes JV, Scholz M (2012) Never Underestimate the Metastatic Potential of a Rarely Metastasizing Tumor. Thoracic and Epidural Metastasis of a Seminoma. J Spine Neurosurg 1:2. doi:10.4172/2325-9701.1000103

Abstract

Never Underestimate the Metastatic Potential of a Rarely Metastasizing Tumor. Thoracic and Epidural Metastasis of a Seminoma

Objective: Seminomas are germ cell tumors which metastasize rarely in regions outside the lymphatic drainage pathways of the testicles.

We report the case of a middle aged male patient who underwent orchiectomy and radiation therapy because of a seminoma. Seventeen months after surgery the patient complained of thoracic back pain and conservative treatment was applied. An MRI of the thoracic spine identified a tumor on Thoracic vertebra Th2 with epidural growth. The patient underwent surgery and the tumor was histologically a seminoma metastasis.

Conclusion: This case report shows that the medical history of a tumor should always alert the doctor (also in case of nonspecific symptoms) to the possibility of a metastasis, no matter how low the metastasis potential is considered to be and should never be underestimated.

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