Abstract

Testicular cancer is the most common malignancy among young men. Över 95% of testicular cancers are germ celi tumors, either seminomas or non seminomas. Püre seminoma has a much greater tendency to remain localised or involve only lymph nodes. Seminomas spreads in an orderly fashion, initially to the drainage lymph nodes in the retroperitoneumfparaaortic and renal hilar nodes). Given pelvic reiaps rate is approximately 2%, also ipsilateral or contralateral inguinal lymph node metastases is rare. Historically, it had been thought that previous scrotal violation is associated with a slight increas in inguinal or pelvic lymph node metastases becouse of dissemination of disease through the scrotal wall or altered patterns of lymphatic dissemination caused by interruption of the inguinal lymphatics. Our case was a 31 years oldmale patient. He had left radical inguinal orchiec-tomy with high ligation of spermatic cord for seminoma on July 2005. He had right inguinal lymph node metastases on October 2006. He had a surgery for varicosei in 1994 so we thought his contralateral inguinal lymph node metastases is becouse of the interruption of his lymhatic drainage.