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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.
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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
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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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