Abstract

We report an unusual case of genitourinary malignancy in an otherwise asymptomatic elderly male, which was discovered via workup of a supraclavicular neck mass. We present his clinical workup as well as the pathological workup and how it influenced our decision-making. A review of the literature is also discussed and demonstrates how uncommon it is for seminomas to present in this manner.

Highlights

  • Neck mass is a common complaint evaluated in the clinic of the Otolaryngologist

  • We report an unusual case of genitourinary malignancy in an otherwise asymptomatic elderly male, which was discovered via workup of a supraclavicular neck mass

  • Primary testicular malignancies are divided into seminomas and non-seminomatous germ cell tumors (NSGCTs). vanVledder et al reviewed 665 patients from January 1997 to June 2009 and found that 492 (76%) were NSGCTs with the remaining 173 (24%) representing seminomas [2]

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Summary

Introduction

Neck mass is a common complaint evaluated in the clinic of the Otolaryngologist. Differential diagnosis for a neck mass is wide and should include infectious, inflammatory, congenital, and certainly neoplastic processes. When neoplasm is diagnosed it is easy to assume upper aerodigestivetract origin given the local and regional lymphatic drainage pathways. Malignant tumors outside of the upper aerodigestive tract can and do spread to the neck and should always be considered in the differential of a neck mass. We present an interesting case of genitourinary malignancy that was diagnosed through the workup of an asymptomatic neck mass

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