Testicular Metastases From Prostate Carcinoma

Abstract

Metastasis of prostate carcinoma to the testis is seldom reported. The tumour may spread from the prostatic urethra by retrograde venous extension, arterial embolism or through direct invasion into the lymphatics and lumen of the vas deferens. Clinical manifestations of secondary testicular tumours from the prostate are most often unsuspected clinically and are instead detected incidentally during orchidectomy. Less frequently, a palpable mass is detected, which may be confused with a primary testicular neoplasm. We report a case of a 66-year-old patient with adenocarcinoma of the prostate, and a left testicular tumour that was diagnosed as metastases from prostate carcinoma after radical orchidectomy.

Prostate cancer involving bilateral seminal vesicles along with bone and testicular metastases: a case report

“…Testicular metastasis was reportedly found in about 4% cases of orchiectomy for prostate cancer [ 3 ]. No lumps, pain, or hydroceles were found in previously reported patients, which was confirmed only by histopathological examination [ 4 ]. In rare cases, patients have been admitted to the hospital for testicular pain or testicular masses [ 4 ].…”

“…No lumps, pain, or hydroceles were found in previously reported patients, which was confirmed only by histopathological examination [ 4 ]. In rare cases, patients have been admitted to the hospital for testicular pain or testicular masses [ 4 ]. Patients with prostate cancer with testicular masses should be differentiated from those with primary testicular tumors [ 5 ].…”

A young patient with prostatic carcinoma with testicular metastasis

“…Prostatic carcinoma is a disease of the elderly, but it is not uncommon in men younger than 55 years [1] . Testicular metastasis from prostatic carcinoma is very uncommon [4] .…”

“…A recent analysis identified around 9 % of prostatic cancer cases are in men aged 35 to 54 years [1] . Metastasis from primary prostate cancer at the time of diagnosis is more common in men aged less than 50 years compared with advanced age [2] .…”

Metastatic testicular and epididymal lesions in a patient with advanced prostate cancer: a case report and literature review

“…Метастатическое поражение яичек встречается редко, чаще -у мужчин старше 60-70 лет с распространенными формами РПЖ и, как правило, является случайной находкой после двусторонней орхэктомии, выполненной в целях хирургической кастрации [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. Ряд авторов описали симптоматические формы заболевания в виде увеличения, уплотнения мошонки и появления болезненности яичек [23][24][25][26][27][28][29][30][31][32][33]. Имеется описание двустороннего поражения яичек [6,11,15,21,34].…”