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Gazouli I, Tsampalas S, Tsimaris I, Zarkavelis G, Grivas N, Kampletsas E, Papadaki A, Mavroeidis L, Ntellas P, Gkoura S, Tsali L, Amylidi AL, Vlachou MS, Mauri D. Ureteral carcinoma metastasizing to the testicle: Can misdiagnosis of orchiepididymitis be avoided? Urol Ann 2021; 13:86-88. [PMID: 33897173 PMCID: PMC8052902 DOI: 10.4103/ua.ua_124_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 09/21/2020] [Accepted: 11/02/2020] [Indexed: 11/23/2022] Open
Abstract
Testicular metastases from ureteral carcinoma are rare and they are generally mimic orchiepididymitis. For this reason, these are associated to misleading diagnoses and cancer treatment delay. We believe that both timing and knowledge of genital blood and lymph reverse flow routes may represent two important parameters for avoiding misleading diagnoses and speed proper anticancer treatment. We describe a case and discuss pathophysiological data and relevant literature.
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Affiliation(s)
- Ioanna Gazouli
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Stavros Tsampalas
- Department of Urology, University Hospital of Ioannina, Ioannina, Greece
| | - Ioannis Tsimaris
- Department of Urology, Chatzikosta General Hospital, Ioannina, Greece
| | - Georgios Zarkavelis
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Nikolaos Grivas
- Department of Urology, Chatzikosta General Hospital, Ioannina, Greece.,European Board of Urology, PanHellenic Association for Continual Medical Research, Ioannina, Greece
| | - Eleftherios Kampletsas
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Alexandra Papadaki
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Leonidas Mavroeidis
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Panagiotis Ntellas
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Stefania Gkoura
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | - Lampriani Tsali
- PACMeR Athens, PanHellenic Association for Continual Medical Research, Ioannina, Greece
| | - Anna-Lea Amylidi
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
| | | | - Davide Mauri
- Department of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.,EMEKEN, Society for Study of Clonal Heterogeneity of Neoplasia, Ioannina, Greece
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