Sonographic Features of a Metastatic Extratesticular Gastrointestinal Stromal Tumor

Souza, Frederico; Salvo, Donald Di

doi:10.7863/jum.2008.27.11.1639

Cited by 3 publications

(3 citation statements)

References 14 publications

(12 reference statements)

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“…Thus far, only three cases of GIST with scrotal metastasis have been described and these also manifested with tumor nodules in the tunica vaginalis and spermatic cord [7,8]. In our case, the presence of bilateral extra-testicular scrotal masses with deposits in the inguinal canal suggests the possibility of spread of the tumor through the processus vaginalis.…”

Section: Discussionmentioning

confidence: 72%

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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Section: Discussionmentioning

confidence: 72%

Rare Case of Gastrointestinal Stromal Tumor Presenting with Scrotal Metastasis

Thomas

Swamy

2015

Indian J Surg

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“…In most patients with scrotal metastases, the symptoms of the primary neoplasm are prevailing. However, a few cases have been reported of patients with advanced gastric cancer spreading through blood or lymphatic vessels or with peritoneal carcinosis who presented with acute scrotal swelling 44–46 . Scrotal pain may be associated.…”

Section: Other Causes Of Acute Pain Referred To the Scrotummentioning

confidence: 99%

Nonscrotal Causes of Acute Scrotum

Campo

Valentino²,

Sidhu

et al. 2020

J of Ultrasound Medicine

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Acute scrotum is characterized by intense acute scrotal pain, which may be associated with other symptoms and signs such as abdominal pain, inflammation, and fever. Many pathologic conditions can present in this way, most which involve the scrotal contents. Nonscrotal conditions, however, can rarely present clinically only as acute scrotum: among them, renal colic, aneurysm rupture or other causes of retroperitoneal hemorrhage, primary abdominal or pelvic tumors and metastases, pancreatitis, pelvic inflammation, and muscle injuries. The pathophysiologic characteristics of the clinical presentation, clues for diagnosis, and imaging features of a series of nonscrotal lesions presenting clinically with acute scrotal pain are herein reported and illustrated. In patients presenting with acute scrotal symptoms and normal scrotal ultrasound findings, nonscrotal causes of acute scrotal pain should be considered in the differential diagnosis. Therefore, an ultrasound investigation of the abdomen, groin, and thighs is indicated.

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“…13 Multifocal lesions and heterogeneity have also been suggested as supporting metastatic disease. 14,15 However, in most instances, considerable overlap in sonographic appearances of many solid extratesticular masses preclude a specific diagnosis. 1 Magnetic resonance imaging (MRI) is useful in characterising certain extra-testicular lesions such as lipoma, haematoma, and fibrous pseudotumour.…”

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confidence: 99%