Cytologic Diagnosis of Metastatic Seminoma in Neck Nodes as Initial Presentation - an Interesting Case Report

Background: Testicular germ cell tumors usually present as scrotal swelling. Very rarely the primary is occult. Germ cell tumor frequently affects the undescended testis. However germ cell tumor of inguinal testis presenting as metastatic disease in neck nodes is very rare. Case history: We report one such case. Metastatic seminoma was suspected in Fine Needle Aspiration Cytology (FNAC) smears of cervical lymph nodes which prompted us to reexamine the patient only to find an inguinal swelling. The cytologic study of the inguinal swelling matched the findings of that of neck nodes.Conclusion: This case reinforces the need to include metastatic germ cell tumor in differential diagnosis of enlarged neck