Late-onset metastatic adenocarcinoma of the spermatic cord from primary gastric cancer

World Journal of Surgical Oncology

Case Report

Hyun Deuk Cho¹  Moon Su Lee²  Doo Sang Kim³  Jae Heon Kim⁴ 

[1] Department of Pathology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea;Department of Surgery, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea;Department of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 23-20, Bongmyeongdong, 330-721, Cheonan, Chungnam, Korea;Department of Urology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Korea;

关键词: Metastasis;    Spermatic cord;    Epididymis;    Adenocarcinoma;    Gastric cancer;   

DOI  :  10.1186/1477-7819-12-128

 received in 2013-10-10, accepted in 2014-04-15,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundMetastatic cancers of the paratesticular tissue are very rare; however, the most frequent primary site of spermatic cord metastasis is the gastrointestinal tract.Case presentationWe recently observed two cases of late-onset metastatic adenocarcinoma of the spermatic cord. Both patients complained of groin discomfort with a palpable mass in the scrotum and inguinal area. Radical orchiectomy and adjuvant chemotherapy were performed in both patients. Although the prognosis of patients with metastatic adenocarcinoma of the spermatic cord is typically poor, the prognosis of our patients was favorable after follow-up for 14 to 18 months.ConclusionsIn patients with groin discomfort or swelling and a history of gastric cancer, metastatic adenocarcinoma should be included in the differential diagnosis for early detection of tumors.

【 授权许可】

CC BY   
© Kim et al.; licensee BioMed Central Ltd. 2014