Incidental Diagnosis of Metastatic Prostate Cancer Post-Inguinal Hernia Repair

Gill-Wiehl, Genevieve F.; Veenstra, Benjamin R.

doi:10.1177/00031348211047172

Cited by 2 publications

(3 citation statements)

References 4 publications

(6 reference statements)

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“…21 Gill-Wiehl and Veenstra reported a case of a man aged 83 years who was incidentally discovered to have a diagnosis of metastatic prostate cancer on pathology following elective inguinal hernia repair. 22 Tumoral implants in hernia sacs are sometimes in the form of visible macroscopic nodules, and sometimes in the form of occult implants at the microscopic level. For this reason, although some authors have recommended microscopic examination of all hernia sacs, the general belief is that microscopic examination should be performed only in selected risky cases.…”

Section: Discussionmentioning

confidence: 99%

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Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report

Çil,

Üntan

2024

Arch Iran Med

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Macroscopic tumor implants in the hernia sac are a very rare condition. They occur as a result of the implantation of malignant cells in the malignant ascites from the inguinal canal to the hernia sac. In this case report, we share the clinical and radiological findings of the macroscopic tumoral implants in the hernia sac at the level of the inguinal canal and scrotum in a male patient aged 65 years with a history of total gastrectomy for gastric adenocarcinoma and developing malignant ascites six months after the surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report

Çil,

Üntan

2024

Arch Iran Med

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“…Rarely, malignant tumors can be identified in hernia sacs, such as metastatic adenocarcinoma from gastrointestinal tract, mesothelioma, gastrointestinal stromal tumor, metastatic ovarian carcinoma, and metastatic prostatic adenocarcinoma. [5][6][7][8] The reported incidence of hernia sacs with malignancies varies from 0.14% to 0.61%, [9][10][11] with male patients more than female patients. 9,10 In our study, the malignancy rate of hernia sacs was 0.59% (32/5424 specimens), which is compatible with the published data.…”

Section: Discussionmentioning

confidence: 99%

Histopathological Findings in Hernia Sacs: A Clinical and Pathological Review

et al. 2023

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Routine histopathological examination of hernia sac in adults remains a controversial topic. We undertook a retrospective study to assess possible clinical benefits of pathological examination of hernia sac specimens. Our pathology database between 1992 and 2020 was searched for adult specimens submitted as hernia sac. The clinical and pathological data of patients with abnormal histopathological findings were reviewed. There were 5424 hernia sac specimens (3722 inguinal, 1625 umbilical, and 77 femoral), 32/5424 (0.59%) with malignancies (28 epithelial and 4 lymphoid) and 25/32 were located in the umbilical region. Twelve out of twenty-five malignancies (48%) presented as primary clinical manifestations of the diseases (5 GI tract carcinomas, 5 gynecological tract carcinomas, and 2 lymphoid neoplasms); and 13/25 (52%) specimens were involved by previously known tumors (8 gynecological carcinomas, 3 colon carcinomas, 1 breast carcinoma, and 1 lymphoma). Among the 7 inguinal hernia sacs with malignancies, 3 (42.9%) were primary presentations of the tumors (2 prostatic carcinomas, 1 pancreatic carcinoma), and 4 (57.1%) were previously known tumors (2 ovarian carcinomas, 1 colon carcinoma, 1 lymphoid). Benign lesions were 12/5424 (0.22%), including 7 adrenal rests, 4 endometriosis, and 1 inguinal sarcoidosis. The incidence of hernia sacs with malignancies was 32/5424 (0.59%), most commonly from nearby organs in gynecological tract. However distant metastases from breast were also present. Near half of the hernia sac with malignancies (15/32, 47%) presented as the first clinical manifestation. Routine histopathological examination of hernia sac in adults is recommended, since it may provide important clinical information.

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Incidental Diagnosis of Metastatic Prostate Cancer Post-Inguinal Hernia Repair

Cited by 2 publications

References 4 publications

Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report

Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report

Histopathological Findings in Hernia Sacs: A Clinical and Pathological Review

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