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Yu CH, En M, Yu DS. Rare case of pancreatic adenocarcinoma with spermatic cord and testicular metastasis. BMJ Case Rep 2022; 15:15/12/e250289. [PMID: 36593606 PMCID: PMC9730350 DOI: 10.1136/bcr-2022-250289] [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] [Indexed: 12/12/2022] Open
Abstract
Male gonadal metastases from pancreatic carcinomas are extremely rare, with fewer than 20 cases documented in the literature. Herein, we report a man in his 50s who presented at the genitourinary outpatient department with an enlarged scrotum (right side) that had developed progressively over several weeks. He also reported mild upper abdominal discomfort. Scrotal sonography revealed a hydrocele on the right side without testicular lesions. A mass pancreatic tail lesion with invasion of the spleen and left adrenal gland was identified through abdominal CT and MRI. Endoscopic ultrasound fine needle biopsy and right radical orchiectomy were performed. Moderately differentiated adenocarcinoma of the pancreatic tail with hematogenous metastasis to the right testis, epididymis and spermatic cord was verified on the basis of the pathology report. Disease progression occurred despite the patient receiving palliative chemoradiation therapy.
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Affiliation(s)
- Chung-Hao Yu
- Division of Urology, Department of Surgery, Tri-Service GeneralHospital, National Defense Medical Center, Taipei, Taiwan,Department of Surgery, Hua-lien Army General Hospital, Hua-lien, Taiwan
| | - Meng En
- Division of Urology, Department of Surgery, Tri-Service GeneralHospital, National Defense Medical Center, Taipei, Taiwan
| | - Dah-Shyong Yu
- Division of Urology, Department of Surgery, Tri-Service GeneralHospital, National Defense Medical Center, Taipei, Taiwan
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Gazouli I, Tsampalas S, Tsimaris I, Zarkavelis G, Grivas N, Kampletsas E, Papadaki A, Mavroeidis L, Ntellas P, Gkoura S, Tsali L, Amylidi AL, Vlachou MS, Mauri D. Ureteral carcinoma metastasizing to the testicle: Can misdiagnosis of orchiepididymitis be avoided? Urol Ann 2021; 13:86-88. [PMID: 33897173 PMCID: PMC8052902 DOI: 10.4103/ua.ua_124_20] [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: 08/04/2020] [Revised: 09/21/2020] [Accepted: 11/02/2020] [Indexed: 11/23/2022] Open
Abstract
Testicular metastases from ureteral carcinoma are rare and they are generally mimic orchiepididymitis. For this reason, these are associated to misleading diagnoses and cancer treatment delay. We believe that both timing and knowledge of genital blood and lymph reverse flow routes may represent two important parameters for avoiding misleading diagnoses and speed proper anticancer treatment. We describe a case and discuss pathophysiological data and relevant literature.
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Affiliation(s)
- Ioanna Gazouli
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Stavros Tsampalas
- Department of Urology, University Hospital of Ioannina, Ioannina, Greece
| | - Ioannis Tsimaris
- Department of Urology, Chatzikosta General Hospital, Ioannina, Greece
| | - Georgios Zarkavelis
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Nikolaos Grivas
- Department of Urology, Chatzikosta General Hospital, Ioannina, Greece.,European Board of Urology, PanHellenic Association for Continual Medical Research, Ioannina, Greece
| | - Eleftherios Kampletsas
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Alexandra Papadaki
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Leonidas Mavroeidis
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Panagiotis Ntellas
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Stefania Gkoura
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Lampriani Tsali
- PACMeR Athens, PanHellenic Association for Continual Medical Research, Ioannina, Greece
| | - Anna-Lea Amylidi
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | | | - Davide Mauri
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
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Wu XW, Zhang Y, Li YF, Li Y, Zhang XX, Wang W, Ma JH, Wang PL, Dong ZC, Shi W, Tian JQ. Testicular Metastasis from Urothelial Carcinoma of the Renal Pelvis: A Rare Case and Review of the Literature. Onco Targets Ther 2020; 13:915-920. [PMID: 32099395 PMCID: PMC6996609 DOI: 10.2147/ott.s230040] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 01/08/2020] [Indexed: 12/26/2022] Open
Abstract
This paper presents an extremely rare case of testicular metastasis arising from renal pelvis carcinoma. The testicle is a rare site of clinically detectable tumor metastasis, originating rarely from upper tract urothelial carcinoma (UTUC). There are only two cases concerning UTUC metastasis to the testis available in the literature. In this report, we presented a patient who developed serial testicle, lung, liver and retroperitoneal lymph node metastasis from primary urothelial carcinoma of the renal pelvis within one year after surgery and chemotherapy. In conclusion, for patients with a history of UTUC who present with testicular symptoms, clinicians should be highly alert for the possibility of malignant involvement at this site.
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Affiliation(s)
- Xue-Wu Wu
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Yang Zhang
- Department of Ultrasound in Medicine, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai Institute of Ultrasound in Medicine, Shanghai 200233, People's Republic of China
| | - Yu-Feng Li
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Ye Li
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Xiang-Xiang Zhang
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Wei Wang
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Jun-Hai Ma
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Pei-Long Wang
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Zhi-Chun Dong
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Wei Shi
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Jun-Qiang Tian
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
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