Dusaud M, Adjadj L, Debelmas A, Souraud JB, Durand X. Malignant melanoma revealed by testicular metastasi.
Int J Surg Case Rep 2015;
12:102-5. [PMID:
26048630 PMCID:
PMC4486107 DOI:
10.1016/j.ijscr.2015.05.026]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2015] [Revised: 05/13/2015] [Accepted: 05/14/2015] [Indexed: 11/28/2022] Open
Abstract
Testicular tumor epidemiology after 65 years old is different than in young adult.
Testicular metastasis of malignant melanoma is rare.
Testicular metastasis of a malignant melanoma demonstrate the severity of the disease.
We report the case of an 83 years old man supported for painless indurated and nodular lesion of the left testicle. Histological analysis identified a primary cutaneous melanoma metastasis although it has never been found on physical examination.
The discovery of a testicular mass should suggest first a germ cell tumor, despite in some populations (age over 60 years), other diagnosis are more frequent, including metastasis.
Due to rapid disease progression and high mortality rate within a short interval, a complete staging looking for other secondary locations must be done and a multidisciplinary care and palliative involvement must also be initiated in the context of metastatic melanoma.
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