Sanjay Mhalasakant Khaladkar, Aarushi Gupta, Rubab K Sekhon, Nitish Gupta


The lymphatics from testicles accompany the testicular vessels, exit the testis and course along the inguinal ring along spermatic vein and drain into the retroperitoneal lymph nodes between the lower dorsal and lumbar vertebra around the aorta, IVC and renal hilum. In testicular tumours, metastatic retroperitoneal lymph nodes occur in pre and para-aortic, pre and paracaval and at renal hilum. The iliac and inguinal lymph node involvement occasionally occurs in a secondary retrograde fashion when there are bulky retroperitoneal lymph nodes. Inguinal lymph nodal  metastasis in testicular tumour is a rare occurrence and can occur due to altered lymphatic drainage following inguinal and or scrotal surgery. The testicular lymphatics are disrupted or damaged during orchiopexy, orchiectomy, hydrocele repair, varicocelectomy or hernia repair. These lymphatics seek new collateral vessels for drainage. These injured lymphatics from scrotal incisions re-anastomose with the testicular lymphatics providing a direct route of spread to the inguinal lymph nodes. We report a case of a 36- year old male patient, who presented with left testicular neoplastic mass with multiple metastatic left inguinal lymph nodes. There was previous history of left orchiopexy for undescended left testis in childhood. 

Full Text:



Shah S. Inguinal lymph node metastatic testicular seminoma: A case report and review of literature. Indian J Cancer. 2015 Jan-Mar;52(1):51-2.PMID: 26837972

Jamieson JK, Dobson JF. The lymphatics of the testicle. Lancet 1910;1:493-5.

Daugaard G, Karas V, Sommer P.Inguinal metastases from testicular cancer.BJU Int. 2006 Apr;97(4):724-6.

Stein M, Steiner M, Suprun H, Robinson E. Inguinal lymph node metastases from testicular tumor. J Urol 1985; 134: 144–5

Corby HM, Lynch TH, Fitzpatrick JM, Smith JM. Inguinal lymph node metastases from a testicular tumor. Br J Urol 1996;77:923-4.

Wheeler JS Jr, Babayan RK, Hong WK, Krane RJ: Inguinal node metastases from testicular tumors in patients with prior orchiopexy. J Urol 1983,129:1245-1247.

Ismail M, Zaman F, Baithun S, Nargund V, Pati J, Masood J.Inguinal lymph node metastases from a testicular seminoma: a case report and a review of the literature.J Med Case Rep. 2010 Nov 25;4:378. PMID: 21108777 PMCID: PMC3003676

Ozen H, Altug U, Bakkaloglu MA, Remzi D: Significance of Scrotal Violation in the Prognosis of Patients with Testicular Tumours. BJU 1988,62(3):267-270.


  • There are currently no refbacks.

© Copyright PJR 2008-