Generalized Scrotal Edema as the First Sign of Gastric Cancer: A Case Report

Abstract

Introduction: Gastric cancer is one of the most common cancers capable of distant metastasis, but Scrotal and penile metastasis are very unusual, and occasionally, the initial manifestation of a latent primary tumor is even rarer. Mechanisms of gastric metastasis have been suggested through different pathways. Case presentation: In this study, we present a case in which a patient presented with painless swelling of the testicles and penis. The main was in the stomach. As far as we know, this is the first report of a scrotal and penile metastasis from gastric adenocarcinoma in Iran. At the time of diagnosis of these metastases had not yet been diagnosed with gastric cancer. Conclusions: Therefore, gastric tumors can metastasize to the genital area through lymphatic vessels in a reversible pathway. However, Proper imaging studies can identify early sites.

Keywords

• gastric adenocarcinoma
• scrotum
• lymphedema
• swelling