Metastatic Tumor of the Epididymis and Spermatic Cord

Algaba, Ferrán; Santaularia, J M; Villavicencio, H.

doi:10.1159/000474045

Cited by 53 publications

(53 citation statements)

References 6 publications

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“…Only 9.5% of adult testicular mass are the first sign of an occult neoplasm, similar to outtara et al (1/12 patient pediatric patient) [13][14][15]. In adult 23.8% of testicular metastases are subclinical and when discovered the wrong diagnosis made concerning the origin of the primary tumor.…”

Section: Discussionsupporting

confidence: 52%

“…The adult testicular metastatic cancer (primary any abdominal organ) patient has poor survival (average 9.1 month subsequent to the diagnosis of the metastasis [13][14][15]). The average survival in pediatric patient varied from 8 years (2 cases) to fulminant disease progression and death within 2 months (2 cases).…”

Section: Discussionmentioning

confidence: 99%

“…In adults most frequent primary tumors metastatic to spermatic cord and epididymis are carcinomas from the stomach, prostate, colon, pancreas, appendix, and renal (renal cell carcinoma) [13,14].…”

Section: Introductionmentioning

confidence: 99%

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The Diagnostic and Therapeutic Approach to a Child Having Simultaneous Renal and Testicular Mass

Singh¹

2017

JPNC

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Twelve % of Wilms' tumor patients have metastases at initial presentation. The hematogenous metastasis is most common in lung, followed by liver, contralateral kidney, bone and brain. In the literature 12 cases of testicular/ paratesticular metastasis of Wilms' tumor has been reported. Here, we report a child having Wilms' tumor with testicular metastasis, with discussion on how to approach the children having simultaneous renal and testicular mass.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

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The Diagnostic and Therapeutic Approach to a Child Having Simultaneous Renal and Testicular Mass

Singh¹

2017

JPNC

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“…38,39 Metastasis to the testis most commonly is from the prostate (33%) or lung (20%), 5,8 with other sources being cutaneous malignant melanoma (8%), appendix and colorectal malignancy (8%), kidney (6%), stomach, pancreas and carcinoid tumors and other rarer sites. 5,1,40,41 Metastasis to the paratestis occurs more commonly from carcinomas of the stomach (43%) and the prostate (29%).…”

Section: Secondary Tumorsmentioning

confidence: 99%

Selected other problematic testicular and paratesticular lesions: rete testis neoplasms and pseudotumors, mesothelial lesions and secondary tumors

2005

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and, in some instances, communication between several structures in the testis and paratestis (rete testis, epididymis, mesothelium, vestigial epithelium and paratesticular soft tissue) result in a plethora of interesting tumors and tumor-like lesions that together pose a formidable diagnostic challenge both because of their morphologic overlap and rarity. The occasional spread of tumors primarily at other sites to this region adds to the potential problem encountered. This review provides an overview of the pathology of nonmesenchymal paratesticular neoplasms and pseudotumors with a focus on the approach to tubulopapillary neoplasms for which diagnostic considerations may include carcinoma of the rete testis, malignant mesothelioma, ovarian-type epithelial tumors, epididymal carcinoma and metastatic carcinomas. The cornerstone of accurate characterization of these lesions is still a comprehensive, traditional clinicopathologic approach, clinical history (of another primary), gross examination (location) and routine light microscopy, but judicious incorporation of contemporary immunohistochemical markers may aid or in some instances be crucial in resolving the problems encountered. Modern Pathology (2005) 18, S131-S145.

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“…Primary mesothelioma of the peritoneum has been reported to spread to the scrotum via a patent processus vaginalis [5]. Likewise, gastrointestinal primary tumors with peritoneal involvement have been reported to metastasize to the spermatic cord or scrotum, and this may occur or have occurred through the processus vaginalis [6].…”

Section: Discussionmentioning

confidence: 99%

Rare Case of Gastrointestinal Stromal Tumor Presenting with Scrotal Metastasis

Thomas

Swamy

2015

Indian J Surg

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While gastrointestinal stromal tumors frequently metastasize, the scrotum is an extremely rare site of involvement. This case is of a 48-year-old male who, having undergone debulking surgery for metastatic gastrointestinal stromal tumor (GIST) of the small intestine 2 years ago, presented with bilateral scrotal swelling. Ultrasound showed hypoechoic mass lesions surrounding the testis and epididymis bilaterally with extension into the spermatic cord and biopsy established a diagnosis of metastatic GIST of the scrotum. As the processus vaginalis is an extension of the peritoneal cavity, we postulate that it may serve a route of spread in malignancies that involve the peritoneal cavity, as in this case.

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Metastatic Tumor of the Epididymis and Spermatic Cord

Cited by 53 publications

References 6 publications

The Diagnostic and Therapeutic Approach to a Child Having Simultaneous Renal and Testicular Mass

The Diagnostic and Therapeutic Approach to a Child Having Simultaneous Renal and Testicular Mass

Selected other problematic testicular and paratesticular lesions: rete testis neoplasms and pseudotumors, mesothelial lesions and secondary tumors

Rare Case of Gastrointestinal Stromal Tumor Presenting with Scrotal Metastasis

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