DESMOID FOLLOWING RETROPERITONEAL LYMPHAD ENECTOMY

Possible etiologies of tumor recurrence in testis cancer patients afte r inguinal orchiectomy and retroperitoneal lymphadenectomy (tumor stag e according to WHO 1987: pT(1) N-0 M(0)) include recurrent germ cell t umor and other primary neoplasms involving retroperitoneal and intra-a bdominal structures. The differential diagnosis of recurrent abdominal tumors in the testis cancer patient must be extended to include desmo id tumors. We present a patient who underwent orchiectomy and retroper itoneal lymphadenectomy with a pathological diagnosis of embryonal car cinoma in the resected tumor Subsequently, an abdominal tumor localize d in the musculus rectus abdominis recurred after more than two years of uneventful follow-up and resection revealed desmoid.