Testicular metastasis as the first clinical manifestation of pancreatic adenocarcinoma: a case report

Journal of Medical Case Reports

Giuseppe Carrieri³  Mariantonietta Bruno¹  Giuseppe Di Fino³  Paolo Massenio³  Francesca Sanguedolce²  Luigi Cormio³ 

[1] Department of Pathology, Madonna delle Grazie Hospital, Matera, Italy;Department of Pathology, University of Foggia, Foggia, Italy;Department of Urology and Renal Transplantation, University of Foggia, Foggia, Italy

关键词: Testicular metastasis;    Pancreatic cancer;    Immunohistochemistry;   

Others  :  1231473
DOI  :  10.1186/s13256-015-0626-4

 received in 2015-01-19, accepted in 2015-05-25,  发布年份 2015

【 摘 要 】

Introduction

Testicular metastases from pancreatic carcinomas are extremely rare and are usually seen in the late phase of the disease. Fewer than 10 cases have been reported in the literature to date, all of which occurred in patients more than 50 years old. Herein we describe the first case, to our knowledge, of testicular metastasis as the first clinical manifestation of pancreatic carcinoma in a young adult.

Case presentation

A 36-year-old Caucasian man presented to our institution with an acutely developed severe pain in his right testis. His clinical examination and scrotal ultrasounds were consistent with a tumor involving the entire right testis. The patient underwent radical orchiectomy. His pathologic examination revealed the tumor to be a metastasis from a pancreatic cancer that was confirmed by an abdominal computed tomographic scan.

Conclusions

The present case shows that testicular metastasis could be the presenting sign of metastatic pancreatic cancer and that testicular metastases from solid organ tumors, though typical of elderly people, may occasionally be seen in young adults as well.

【 授权许可】

   
2015 Cormio et al.

【 图 表 】

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