Epididymal Metastasis of a Prostatic Carcinoma

Abstract

We report the case of a 73-year-old patient who presented with a local recurrence of a prostatic carcinoma which had metastasized to the right epididymis. The histopathological examination of the resected tissue after transurethral resection of the prostate 8 years before revealed a pluriformal adenocarcinoma of the prostate, but the patient refused any kind of therapy at that time.

Epididymal Metastasis of Cholangiocarcinoma, an Extremely Rare Event: A Case Report and Review of the Literature

“…The most common primary carcinoma metastatic to epididymis has been prostate in 7 cases (40%) (1,3,4,7,8,10,13). Other less common primary tumors have been stomach in 2 cases (2, 6), and colon (5), jejunum (13), pancreas (12) and cholangiocarcinoma (9) each in one patient.…”

“…Radiologic methods were ultrasonography (US), computed tomography scan (CT scan), magnetic resonance imaging (MRI) and even PET (positron emission tomography) scans (7). US findings had been reported as a homogenous, well-defined and hypoechoic mass (1,11,14). CT scan of epididymal metastasis revealed a solid mass (1).…”

“…US findings had been reported as a homogenous, well-defined and hypoechoic mass (1,11,14). CT scan of epididymal metastasis revealed a solid mass (1). MRI had shown a heterogeneous 2…”

“…Malignant epididymal lesions are rare, accounting for 0.03% of all male cancers. Both primary and metastatic cancers of the epididymis are rare (1). Epididymal metastatic carcinoma has been extremely rare and to the best of our knowledge only 13 cases have been reported (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13).…”

Testicular metastasis from carcinoma of prostate: report of two cases

“…1 Testis is an uncommon site, with less than 200 cases described till date, 2 whereas epididymal involvement is unusual. 3 Further, simultaneous involvement of testis and epididymis is exceptional. 4 We report two cases of testicular metastasis from prostatic carcinoma, which was incidentally detected on histopathological evaluation of bilateral orchiectomy specimen.…”