1
|
Phulware RH, S GK, Shirsath GR, Gupta A. Unilateral testicular metastasis of prostate cancer. Autops Case Rep 2024; 14:e2024507. [PMID: 39021473 PMCID: PMC11253901 DOI: 10.4322/acr.2024.507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Indexed: 07/20/2024]
Affiliation(s)
- Ravi Hari Phulware
- All India Institute of Medical Sciences (AIIMS), Department of Pathology & Laboratory Medicine, Rishikesh, Uttarakhand, India
| | - Gayathri K S
- All India Institute of Medical Sciences (AIIMS), Department of Pathology & Laboratory Medicine, Rishikesh, Uttarakhand, India
| | - Gaurav Rajendra Shirsath
- All India Institute of Medical Sciences (AIIMS), Department of Pathology & Laboratory Medicine, Rishikesh, Uttarakhand, India
| | - Amit Gupta
- All India Institute of Medical Sciences (AIIMS), Department of General Surgery, Rishikesh, Uttarakhand, India
| |
Collapse
|
2
|
Herrera Ortiz AF, Rojas J, Yepes MM, Quiroz Alfaro AJ. Isolated testicular metastasis in a patient with prostate cancer. BMJ Case Rep 2024; 17:e261274. [PMID: 38857918 DOI: 10.1136/bcr-2024-261274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2024] Open
Affiliation(s)
- Andrés Felipe Herrera Ortiz
- Radiology, Fundación Santa Fe de Bogotá, Bogotá, Colombia
- Radiology, Universidad El Bosque, Bogotá, Bogotá, Colombia
| | - Julian Rojas
- Nuclear Medicine, Hospital Universitario de la Fundación Santa Fe de Bogotá, Bogota, Colombia
| | - Maria Monica Yepes
- Radiology, Fundación Santa Fe de Bogotá, Bogotá, Colombia
- Radiology, Universidad El Bosque, Bogotá, Bogotá, Colombia
| | | |
Collapse
|
3
|
Di Rienzo G, Tafuni A, Maestroni U, Ruffini L, Silini EM, Gasparro D, Pilato FP, Gnetti L. Testicular metastasis of prostate adenocarcinoma: the other side of orchiepididymitis. Pathologica 2024; 116:69-74. [PMID: 38482677 PMCID: PMC10938275 DOI: 10.32074/1591-951x-940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 02/14/2024] [Indexed: 03/17/2024] Open
Abstract
Background Metastatic prostate adenocarcinoma is a rare event and there are few references to this topic. We report an unusual case of prostate cancer metastasis and review of contemporary literature. Moreover, we discuss the pathogenesis and the clinical aspects of this event. Case presentation A 70-year-old patient was admitted to the hospital for right scrotal pain. The ultrasound examination described an increase in testicular size, suggesting the possibility of orchiepididymitis. Past medical history reported a previous prostate adenocarcinoma. Inflammatory blood tests were normal. Importantly, PSA was 3.3 ng/ml. PET scan positivity in the scrotum raised suspicion of a relapse. Therefore, he underwent right orchiectomy. Conclusion Although metastatic prostate adenocarcinoma is rare, a correct diagnosis is of paramount importance because the therapy changes accordingly. Patients who complain of scrotal pain need to be examined accurately. Although the most common cause behind this symptom is infectious, the patient's past medical history should be reviewed to exclude previous malignancies.
Collapse
Affiliation(s)
| | | | | | - Livia Ruffini
- Nuclear Medicine Division, University Hospital of Parma, Parma, Italy
| | | | | | | | - Letizia Gnetti
- Anatomic Pathology Unit, University Hospital of Parma, Parma, Italy
| |
Collapse
|
4
|
Allaume P, Khene ZE, Peyronnet B, Mathieu R, Bensalah K, Rioux-Leclercq N, Kammerer-Jacquet SF. [Secondary tumors localized in testis]. Ann Pathol 2023; 43:361-372. [PMID: 36822906 DOI: 10.1016/j.annpat.2023.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 09/27/2022] [Accepted: 01/12/2023] [Indexed: 02/23/2023]
Abstract
Testis tumors are uncommon in oncology, and testicular metastasis from distant solid tumors are even rarer. We present two cases encountered in our department of pathology in CHU de Rennes, France. Moreover, we collected all reported cases in the Medline/PubMed databases of non-hematopoietic secondary testis tumors in adults, excluding autopsy studies, to propose an integrative study on this topic. In total, we report 98 cases of secondary testis lesions to prostate (n=38, 38.77 %), colorectal (n=19, 19.39%), gastric (n=12, 12.24%), kidney (n=7, 7.14%), lung (n=6, 6.12%) and other primary cancers. The median age at diagnosis was 66.5 years. We identified significantly more prostate adenocarcinoma (P<0.0001) when the primary tumor was known and significantly more colorectal adenocarcinoma (P=0.035) and pancreatic adenocarcinoma (P=0.002) when the primary tumor was unknown. The age at diagnosis was older when the primary tumor was known (P=0.007). We present the challenges for the diagnosis and propose some elements for diagnosis orientation. Finally, we discuss the possible ways of metastatic dissemination from primary site to testis, as illustrated by the two cases we present.
Collapse
Affiliation(s)
- Pierre Allaume
- Service anatomie pathologique, CHU de Rennes-université de Rennes 1 Hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes Cedex 9, France.
| | - Zine-Eddine Khene
- Service d'urologie, CHU de Rennes-université de Rennes 1 Hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes Cedex 9, France
| | - Benoît Peyronnet
- Service d'urologie, CHU de Rennes-université de Rennes 1 Hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes Cedex 9, France
| | - Romain Mathieu
- Service d'urologie, CHU de Rennes-université de Rennes 1 Hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes Cedex 9, France
| | - Karim Bensalah
- Service d'urologie, CHU de Rennes-université de Rennes 1 Hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes Cedex 9, France
| | - Nathalie Rioux-Leclercq
- Service anatomie pathologique, CHU de Rennes-université de Rennes 1 Hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes Cedex 9, France
| | - Solène-Florence Kammerer-Jacquet
- Service anatomie pathologique, CHU de Rennes-université de Rennes 1 Hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes Cedex 9, France
| |
Collapse
|
5
|
Hermi A, Boussaffa H, Saadi A, Blel A, Chakroun M, Ben Slama M. Prostate adenocarcinoma metastasis to the testis: A new case report. Urol Case Rep 2023; 48:102392. [PMID: 37035722 PMCID: PMC10074503 DOI: 10.1016/j.eucr.2023.102392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 03/19/2023] [Accepted: 03/25/2023] [Indexed: 03/29/2023] Open
Abstract
Prostate cancer (PCa) in the second most common cancer in men worldwide. It commonly metastasizes to the bone, lymph nodes, liver and lungs. Synchronous or metachronous testicular metastasis is a rare finding, generally diagnosed incidentally after bilateral orchidectomy for hormonal management in patients with advanced PCa, or at autopsy. We report a case of a 55-year-old male, presenting a PCa and who developed a single testicular metastasis treated by radical orchidectomy, while he was under hormonotherapy.
Collapse
Affiliation(s)
- A. Hermi
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
- Corresponding author.
| | - H. Boussaffa
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
| | - A. Saadi
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
| | - A. Blel
- Department of Pathology, Charles Nicolle Hospital, Tunis, Tunisia
| | - M. Chakroun
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
| | - M.R. Ben Slama
- Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia
| |
Collapse
|
6
|
Rajwa P, Yanagisawa T, Gruber M, Heidenreich A, Joniau S, Briganti A, Shariat SF, Marra G, Gandaglia G. Surgical Metastasectomy for Visceral and Bone Prostate Cancer Metastases: A Mini-Review. Eur Urol Focus 2022; 9:232-235. [PMID: 36371377 DOI: 10.1016/j.euf.2022.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 10/18/2022] [Accepted: 10/31/2022] [Indexed: 11/11/2022]
Abstract
Despite growing interest in metastasis-directed therapy (MDT) for prostate cancer (PCa), little is known regarding the feasibility and effectiveness of surgical metastasectomy for isolated lesions. We performed a narrative review of the available evidence supporting metastasectomy for M1b-c lesions in men diagnosed with oligometastatic or oligorecurrent PCa. The case series and case reports we identified indicate that surgical MDT is a safe and feasible treatment option for well-selected patients with a small number of PCa metastases diagnosed via molecular imaging. It is difficult to draw evidence-based conclusions regarding the survival benefit of metastasectomy; however, metastasectomy might lead to a prostate-specific antigen response and could potentially delay systemic therapy in patients with oligometastatic PCa. Prospective studies incorporating novel imaging are needed to better establish the role of metastasectomy for patients with metastatic PCa. PATIENT SUMMARY: We reviewed the evidence on surgical removal of prostate cancer lesions that have spread to the organs (eg, liver and lung) or bone, which are called metastases. Limited results show that this approach is feasible and has favorable outcomes in selected patients.
Collapse
|
7
|
Yeo AE, Hendrix A, Confente C, Christian N, Mansvelt B, Pairet G, Seront E. Highlighting the Place of Metastasis-Directed Therapy in Isolated Liver Metastases in Prostate Cancer: A Case Report. Front Oncol 2021; 11:764758. [PMID: 34868986 PMCID: PMC8635688 DOI: 10.3389/fonc.2021.764758] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 10/27/2021] [Indexed: 11/13/2022] Open
Abstract
Metastatic prostate cancer remains a challenge for clinicians. Metastases involve mainly the bone compartment and can manifest as oligometastatic disease. In this setting, the role of metastasis-directed therapies (MDT) including surgery and/or stereotactic body radiotherapy is currently evaluated. Visceral metastases are less common and have very poor prognosis in mPC. Whether treating isolated visceral metastases such as liver metastases with MDT could increase the prognosis remains unknown. We report the management of a prostate cancer patient who progressed on androgen deprivation therapy with apparition of two liver metastases. We describe the feasibility of combining MDT with abiraterone acetate and prednisone in a patient with metastatic castration-resistant prostate cancer. MDT allowed the interruption of abiraterone acetate, preventing cumulative toxicity of this agent.
Collapse
Affiliation(s)
| | - Aurore Hendrix
- Department of Medical Oncology, Jolimont Hospital, La Louvière, Belgium
| | - Caterina Confente
- Department of Medical Oncology, Jolimont Hospital, La Louvière, Belgium
| | | | | | - Géraldine Pairet
- Department of Pathology, Jolimont Hospital, La Louvière, Belgium
| | - Emmanuel Seront
- Department of Medical Oncology, Jolimont Hospital, La Louvière, Belgium
| |
Collapse
|
8
|
Olorunsola IS, Etonyeaku AC, Lekwa BO, Ojo OS. Bilateral secondary testicular, epididymal and spermatic cords carcinoma of prostatic origin: a case report and review of the literature. J Med Case Rep 2021; 15:222. [PMID: 33931116 PMCID: PMC8088057 DOI: 10.1186/s13256-021-02807-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 03/22/2021] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Prostatic carcinoma is emerging as the most common male malignancy in Nigeria and the second most common male cancer worldwide. Patients often present with locally advances stages, and common sites of metastasis are the spine, pelvis, chest, and long bones. Metastases to the testes and spermatic cords are reputed to be rare and may be indicative of a worse outcome, when they occur. We recently encountered a clinical case of bilateral testicular, epididymal and spermatic cords prostatic cancer metastases. CASE PRESENTATION A 71-year-old Nigerian man, who presented at our hospital with 1-month-old complaints of inability to walk together with low back and bilateral thigh pains. This presentation had been preceded by a 5-month history of lower urinary tract symptoms. On examination, the prostate was hard and nodular as were the left testis and spermatic cord. On histological assessment of a needle biopsy, prostatic adenocarcinoma (Gleason score 5 + 5 = 10) was diagnosed. A subsequent therapeutic bilateral total orchidectomy specimen was found to contain metastatic prostatic carcinoma deposits, in the testes, epididymides, and spermatic cords. Although our patient is currently doing well postoperatively on zoledronic acid, ketoconazole, bicalutamide, and tamsulosin, he is being re-evaluated periodically for any feature of recurrence. CONCLUSION Since it has implications for eventual outcome, every clinically suspicious therapeutic orchidectomy specimen should be subjected to a detailed histopathological examination in order to exclude secondaries from the primary prostatic malignancy.
Collapse
Affiliation(s)
- Ifeoluwa S. Olorunsola
- Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Osun Nigeria
| | - Amarachukwu C. Etonyeaku
- Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun Nigeria
- Mishmael Hospitals and Clinics, Akure, Ondo Nigeria
| | | | - Olusegun S. Ojo
- Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Osun Nigeria
| |
Collapse
|
9
|
Isolated Testicular Metastasis Diagnosed More than a Decade and a Half Post Primary Treatment for Prostate Cancer. Case Rep Oncol Med 2019; 2019:4956954. [PMID: 31885973 PMCID: PMC6899263 DOI: 10.1155/2019/4956954] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Accepted: 11/19/2019] [Indexed: 12/03/2022] Open
Abstract
Prostate cancer is the most common visceral malignancy among men. It rarely metastasizes to the testicles. We herein present the case of a male patient who underwent a radical prostatectomy for a grade group 3 Gleason score 7 (4 + 3) prostate adenocarcinoma followed by adjuvant radiation therapy and continuous androgen deprivation therapy after his first biochemical recurrence. Despite optimal management, prostate-specific antigen (PSA) levels rose back up, upon which a PET/CT 68Gallium scan demonstrated an isolated left testicular lesion that turned out to be of prostatic origin following orchiectomy. Testicular metastases from prostate cancer are of unknown prognosis, and the current treatment modality favors an orchiectomy.
Collapse
|
10
|
Dahiru AM, Raheem N, Nggada HA, Muzzamil A, Dahiru Y. Isolated testicular metastasis from prostatic adenocarcinoma. Ann Afr Med 2019; 18:173-175. [PMID: 31417019 PMCID: PMC6704808 DOI: 10.4103/aam.aam_60_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Metastatic carcinomas to the testes are rare with prostate adenocarcinoma being the most common. Reported cases of metastatic carcinoma to the testes are usually associated with metastasis to other sites. Metastasis to the testis alone without associated secondaries to other sites can occur and so far, few cases have been reported globally. Due to the rarity of such presentation and the need for proper evaluation of orchiectomy specimens for prostatic adenocarcinoma, we report a case of an 84-year-old with isolated metastasis to the left testes. This was discovered incidentally the following orchiectomy as a form of hormonal therapy for prostatic adenocarcinoma.
Collapse
Affiliation(s)
- Aminu M.C. Dahiru
- Department of Pathology, Federal Medical Centre, Yola, Adamawa State, Nigria
| | - Nasiru Raheem
- Department of Pathology, Federal Medical Centre, Yola, Adamawa State, Nigria
| | - Haruna Asura Nggada
- Department of Pathology, University of Maiduguri/University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria
| | - Abdullahi Muzzamil
- Department of Surgery, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria
| | - Yunusa Dahiru
- Department of Radiology, Federal Medical Centre, Yola, Adamawa State, Nigeria
| |
Collapse
|
11
|
Ege Aktas G, Yürüt Çaloğlu V, Akdere H, Tutuğ BB, Altun GD. Biochemical Recurrence of Prostate Cancer Presenting as Solitary Testicular Metastasis on 68Ga-Labeled Prostate-Specific Membrane Antigen Ligand Positron Emission Tomography/Computed Tomography. Clin Nucl Med 2018; 43:699-700. [DOI: 10.1097/rlu.0000000000002204] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|