Cancer Management and Research (Feb 2021)
Testicular and Spermatic Cord Metastases from Gastric Adenocarcinoma: An Unusual Case
Abstract
Jing Fu,1,2 Jindan Luo,1 Huajian Ye,2 Yaokang Chen,2 Liping Xie1 1Department of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310003, People’s Republic of China; 2Department of Urology, Shaoxing Second Hospital, Shaoxing, Zhejiang, 312000, People’s Republic of ChinaCorrespondence: Liping XieDepartment of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79 Qingchun Road, Hangzhou, Zhejiang, 310003, People’s Republic of ChinaTel/Fax +86 571 8707 2577Email [email protected] ChenDepartment of Urology, Shaoxing Second Hospital, No. 123 Yanan Road, Shaoxing, Zhejiang, 312000, People’s Republic of ChinaTel +86 575 8805 3825Email [email protected]: The metastasis of gastric cancer to the testis or spermatic cord is very rare; however, simultaneous testicular and spermatic cord metastases are even rarer. Here, we report an unusual case of a 54-year-old male patient who had undergone radical gastrectomy for gastric adenocarcinoma more than two years before. He complained of palpable painful masses in the right scrotum and inguinal area occurring for more than half a year. Enhanced computed tomography (CT) separately showed an enhanced soft tissue mass in the right testicular and spermatic cord areas. Therefore, a right radical orchiectomy was conducted. The pathology was consistent with the metastases of gastric adenocarcinoma.Keywords: gastric adenocarcinoma, testis, spermatic cord, metastasis
