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Wu JM, Zhang A, Dong Y, Lin SH, Meng JC, Fang CT. Colorectal cancer with testicular metastasis: A case report and literature review. Medicine (Baltimore) 2023; 102:e33214. [PMID: 36930122 PMCID: PMC10019171 DOI: 10.1097/md.0000000000033214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 02/16/2023] [Indexed: 03/18/2023] Open
Abstract
RATIONALE Colorectal cancer is the second leading cause of cancer-related deaths in the world. About 50% of patients will have metastases during the course of the disease. The common sites of metastasis are the liver, lung, peritoneum, lymph, etc. Metastatic carcinoma to the testes is uncommon. We found a case of ascending colon cancer metastasized to the testis in the clinic. PATIENT CONCERNS We reported a 50-year-old male patient who was found to have testicular metastases >4 years after intestinal cancer surgery, and multiple metastases in the peritoneum and pelvis were found 1 week later. DIAGNOSES After enhanced computed tomography and pathological biopsy, the patient was diagnosed with testicular metastasis of colon cancer. INTERVENTIONS Capecitabine combined with bevacizumab is currently undergoing palliative treatment. OUTCOMES The patients died of tumor progression on June 28, 2021. LESSONS The testicular metastasis of colorectal cancer is a sign of peritoneum and multiple metastases. When the testicular metastasis occurs in colorectal cancer patients, it usually indicates that the patient has a poor prognosis.
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Affiliation(s)
- Jia-Ming Wu
- Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Zhongshan, China
| | - Ao Zhang
- Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Zhongshan, China
| | - Yu Dong
- Clinical Research and Big Data Laboratory, South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Si-Hong Lin
- Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Zhongshan, China
| | - Jin-Cheng Meng
- Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Zhongshan, China
| | - Can-Tu Fang
- Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine, Zhongshan, China
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Hao C, Kang C, Kang X, Yu Z, Li T, Xue J. Primary Borderline Mucinous Testicular Tumor: A Case Report and Literature Review. Front Oncol 2021; 10:619774. [PMID: 33767975 PMCID: PMC7986722 DOI: 10.3389/fonc.2020.619774] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 12/14/2020] [Indexed: 11/20/2022] Open
Abstract
Primary mucinous tumors of the testis and paratestis are very rare, with only 29 reported cases detected in a PubMed search. The histopathological characteristics of primary testicular mucinous tumors are similar to their ovarian counterparts, and the diagnosis and naming criteria refer to the criteria for female ovarian mucinous tumors. However, the clinical and imaging features of primary testicular mucinous tumors are poorly understood, and they are thus frequently undiagnosed or misdiagnosed. We present the case of a patient with a primary testicular mucinous tumor. A 52-year-old man presented with a 1-year history of painless enlargement of the left scrotum. Ultrasound examination revealed a cystic mass in the left testis, with viscous fluid areas and calcified spots, irregular solid bulges on the cyst wall, and a small blood supply. Serum alpha-fetoprotein, β-human chorionic gonadotropin, lactate dehydrogenase, renal function, inflammatory markers, and routine urine and blood examinations were all normal. The patient underwent radical resection of the left testis. Postoperative pathology showed a multilocular cystic mass, with the inner wall of the sac lined with mucous columnar epithelial cells, some with mild nuclear atypia, and no interstitial infiltration. The pathological diagnosis was testicular mucinous tumor. Postoperative abdominal and pelvic computed tomography, colonoscopy, and gastroscopy showed no suspicious lesions. The final diagnosis was primary testicular borderline mucinous tumor. The patient underwent postoperative follow-up examinations once a year for 4 years. Serum tumor markers, scrotal ultrasound, abdominal and pelvic computed tomography scans, and colonoscopy and gastroscopy revealed no evidence of metastases or other primary adenocarcinoma. This case highlights the clinical and imaging characteristics of primary testicular mucinous tumors, which might aid their differential diagnosis.
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Affiliation(s)
- Changjuan Hao
- Department of Ultrasound, Shanxi Bethune Hospital affiliated to Shanxi Medical University, Taiyuan, China
| | - Chunsong Kang
- Department of Ultrasound, Shanxi Bethune Hospital affiliated to Shanxi Medical University, Taiyuan, China
| | - Xiaoyan Kang
- Department of Ultrasound, Shanxi Bethune Hospital affiliated to Shanxi Medical University, Taiyuan, China
| | - Zhuanzhuan Yu
- Department of Pathology, Shanxi Bethune Hospital affiliated to Shanxi Medical University, Taiyuan, China
| | - Tingting Li
- Department of Ultrasound, Shanxi Bethune Hospital affiliated to Shanxi Medical University, Taiyuan, China
| | - Jiping Xue
- Department of Ultrasound, Shanxi Bethune Hospital affiliated to Shanxi Medical University, Taiyuan, China
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Wu XW, Zhang Y, Li YF, Li Y, Zhang XX, Wang W, Ma JH, Wang PL, Dong ZC, Shi W, Tian JQ. Testicular Metastasis from Urothelial Carcinoma of the Renal Pelvis: A Rare Case and Review of the Literature. Onco Targets Ther 2020; 13:915-920. [PMID: 32099395 PMCID: PMC6996609 DOI: 10.2147/ott.s230040] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 01/08/2020] [Indexed: 12/26/2022] Open
Abstract
This paper presents an extremely rare case of testicular metastasis arising from renal pelvis carcinoma. The testicle is a rare site of clinically detectable tumor metastasis, originating rarely from upper tract urothelial carcinoma (UTUC). There are only two cases concerning UTUC metastasis to the testis available in the literature. In this report, we presented a patient who developed serial testicle, lung, liver and retroperitoneal lymph node metastasis from primary urothelial carcinoma of the renal pelvis within one year after surgery and chemotherapy. In conclusion, for patients with a history of UTUC who present with testicular symptoms, clinicians should be highly alert for the possibility of malignant involvement at this site.
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Affiliation(s)
- Xue-Wu Wu
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Yang Zhang
- Department of Ultrasound in Medicine, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai Institute of Ultrasound in Medicine, Shanghai 200233, People's Republic of China
| | - Yu-Feng Li
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Ye Li
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Xiang-Xiang Zhang
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Wei Wang
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Jun-Hai Ma
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Pei-Long Wang
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Zhi-Chun Dong
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Wei Shi
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
| | - Jun-Qiang Tian
- Department of Urology, The Second Hospital of Lanzhou University, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephro-Urological Clinical Center, Lanzhou 730000, People's Republic of China
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Smit JA, Baas JM, Verheijen PM. Metastasis of colorectal carcinoma in the testis: first sign of peritoneal disease. J Surg Case Rep 2019; 2019:rjz270. [PMID: 31687127 PMCID: PMC6822535 DOI: 10.1093/jscr/rjz270] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Accepted: 08/15/2019] [Indexed: 01/19/2023] Open
Abstract
Metastases of colorectal carcinoma (CRC) in the testis are very rare and indicate an advanced stage of disease. In this case report, we present a patient with adenocarcinoma in the sigmoid colon with metastasis in the right testis. Testicular metastasis of CRC is mostly diagnosed late because of their low incidence rate. Patients with CRC and testicular metastasis have a poor prognosis. In this case, the patient turned out to have peritoneal metastasis and one should be aware that testicular metastasis could be the first sign of widespread disease.
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Affiliation(s)
- Johannes A Smit
- Department of Surgery, Meander Medical Centre, Amersfoort, 3813 TZ, The Netherlands
| | - Jara M Baas
- Department of Internal Medicine, Meander Medical Center, Amersfoort, 3813 TZ, The Netherlands
| | - Paul M Verheijen
- Department of Surgery, Meander Medical Centre, Amersfoort, 3813 TZ, The Netherlands
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Pratap K, Perera M, Malczewski F, Esler R. Borderline Mucinous Testicular Tumour: Diagnostic and Management difficulties. BMJ Case Rep 2018; 2018:bcr-2017-223787. [PMID: 30287624 DOI: 10.1136/bcr-2017-223787] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
A 45-year-old man presented with right-sided testicular swelling and pain. An examination found a tender, firm right testis, a clinically normal left testis and no palpable lymphadenopathy. Tumour and inflammatory markers were within normal limits. A scrotal ultrasound scan showed an intratesticular, avascular lesion measuring 4.4×2.6×1.8 cm. A CT scan of his chest/abdomen/pelvis (CT C/A/P) showed no metastatic or primary lesions. An elective right-inguinal orchidectomy was subsequently performed. Histopathology showed a cystic mucinous tumour lined with intestinal-type epithelium. Differentials of metastatic adenocarcinoma, possibly of a gastrointestinal origin, a monodermal teratoma, or a borderline mucinous tumour of the testicle (BMTT) were considered. Following 12 p genetic studies and a colonoscopy, both of which found no abnormalities, a presumptive diagnosis of a BMTT was made. The patient is to have an annual urological review with a CT C/A/P and 5 yearly colonoscopies.
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Affiliation(s)
- Krishan Pratap
- Department of Urology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.,University of Queensland School of Medicine, Herston, Queensland, Australia
| | - Marlon Perera
- Department of Urology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
| | - Frances Malczewski
- Department of Pathology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
| | - Rachel Esler
- Department of Urology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
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