Clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidance
Introduction There are few reports on indocyanine green fluorescence‐guided surgery in testis‐related diseases. Case presentation A 38‐year‐old man underwent orchiectomy for left testicular cancer. Pathological diagnosis was pT1 seminoma. Seven years after the surgery, solitary left external iliac l...
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Wiley
2021-05-01
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Series: | IJU Case Reports |
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Online Access: | https://doi.org/10.1002/iju5.12273 |
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author | Yuki Enei Fumihiko Urabe Jun Miki Kosuke Iwatani Akira Hisakane Keiji Yasue Takafumi Yanagisawa Takahiro Kimura Shin Egawa |
author_facet | Yuki Enei Fumihiko Urabe Jun Miki Kosuke Iwatani Akira Hisakane Keiji Yasue Takafumi Yanagisawa Takahiro Kimura Shin Egawa |
author_sort | Yuki Enei |
collection | DOAJ |
description | Introduction There are few reports on indocyanine green fluorescence‐guided surgery in testis‐related diseases. Case presentation A 38‐year‐old man underwent orchiectomy for left testicular cancer. Pathological diagnosis was pT1 seminoma. Seven years after the surgery, solitary left external iliac lymph node metastasis was suspected. We decided to perform laparoscopic lymph node dissection combined with indocyanine green fluorescence injection. During the operation, we injected indocyanine green fluorescence into his left inner inguinal ring and found that the lymph node was directly drained from the injection point. The pathological diagnosis of the indocyanine green fluorescence‐positive left external iliac lymph node was testicular cancer metastasis. Conclusion We experienced a case of solitary left external iliac lymph node recurrence in testicular cancer. Using indocyanine green fluorescence injection, we could visualize the lymphatic drainage route, which helped us identify the lymph node as the primary landing site of metastasis. |
first_indexed | 2024-12-19T06:19:43Z |
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id | doaj.art-ebaa6c9b19e6481ab0410164d8562a66 |
institution | Directory Open Access Journal |
issn | 2577-171X |
language | English |
last_indexed | 2024-12-19T06:19:43Z |
publishDate | 2021-05-01 |
publisher | Wiley |
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series | IJU Case Reports |
spelling | doaj.art-ebaa6c9b19e6481ab0410164d8562a662022-12-21T20:32:45ZengWileyIJU Case Reports2577-171X2021-05-014316316610.1002/iju5.12273Clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidanceYuki Enei0Fumihiko Urabe1Jun Miki2Kosuke Iwatani3Akira Hisakane4Keiji Yasue5Takafumi Yanagisawa6Takahiro Kimura7Shin Egawa8Department of Urology The Jikei University Kashiwa Hospital Kashiwa ChibaJapanDepartment of Urology The Jikei University Kashiwa Hospital Kashiwa ChibaJapanDepartment of Urology The Jikei University Kashiwa Hospital Kashiwa ChibaJapanDepartment of Urology The Jikei University School of Medicine Tokyo JapanDepartment of Urology The Jikei University School of Medicine Tokyo JapanDepartment of Urology The Jikei University School of Medicine Tokyo JapanDepartment of Urology The Jikei University Kashiwa Hospital Kashiwa ChibaJapanDepartment of Urology The Jikei University School of Medicine Tokyo JapanDepartment of Urology The Jikei University School of Medicine Tokyo JapanIntroduction There are few reports on indocyanine green fluorescence‐guided surgery in testis‐related diseases. Case presentation A 38‐year‐old man underwent orchiectomy for left testicular cancer. Pathological diagnosis was pT1 seminoma. Seven years after the surgery, solitary left external iliac lymph node metastasis was suspected. We decided to perform laparoscopic lymph node dissection combined with indocyanine green fluorescence injection. During the operation, we injected indocyanine green fluorescence into his left inner inguinal ring and found that the lymph node was directly drained from the injection point. The pathological diagnosis of the indocyanine green fluorescence‐positive left external iliac lymph node was testicular cancer metastasis. Conclusion We experienced a case of solitary left external iliac lymph node recurrence in testicular cancer. Using indocyanine green fluorescence injection, we could visualize the lymphatic drainage route, which helped us identify the lymph node as the primary landing site of metastasis.https://doi.org/10.1002/iju5.12273indocyanine green fluorescencelymphatic drainage routelymphatic metastasistesticular cancer |
spellingShingle | Yuki Enei Fumihiko Urabe Jun Miki Kosuke Iwatani Akira Hisakane Keiji Yasue Takafumi Yanagisawa Takahiro Kimura Shin Egawa Clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidance IJU Case Reports indocyanine green fluorescence lymphatic drainage route lymphatic metastasis testicular cancer |
title | Clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidance |
title_full | Clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidance |
title_fullStr | Clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidance |
title_full_unstemmed | Clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidance |
title_short | Clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidance |
title_sort | clear identification of the rare solitary external iliac lymph node metastasis of testicular cancer by using indocyanine green fluorescence guidance |
topic | indocyanine green fluorescence lymphatic drainage route lymphatic metastasis testicular cancer |
url | https://doi.org/10.1002/iju5.12273 |
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