158
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Spermatic cord metastasis presenting as strangulated inguinal hernia – first manifestation of a multifocal colon adenocarcinoma: a case report

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Spermatic cord is a rare metastatic site of colorectal cancer. We herein report a case of spermatic cord metastasis of a previous undiagnosed multifocal colon adenocarcinoma, which was clinically presented as a strangulated groin hernia.

          Related collections

          Most cited references7

          • Record: found
          • Abstract: found
          • Article: not found

          Secondary neoplasms of the male genital tract with different patterns of involvement in adults and children.

          The incidence, presentation and macroscopic and histological features of secondary neoplasms of the male genital tract are described with reference to their differential diagnosis. A retrospective study of cases from the Royal London Hospital yielded a total of 31 secondary neoplasms involving the testis: 14 at postmortem examination and 17 surgical specimens. Nine cases were leukaemias: six acute lymphoblastic and two acute myeloid leukaemias in children, and one chronic lymphocytic leukaemia in an adult. The commonest primary sites of metastases to the testis were prostate (six cases), stomach (five cases) and lung (three cases). There were two malignant melanomas and isolated examples of metastases from the adrenal gland (neuroblastoma), cerebellum (medulloblastoma), soft tissue (alveolar rhabdomyosarcoma), pancreas and rectum. Of the metastases from solid tumours, 12 involved the right testis only, three involved the left and four were bilateral. In seven of these cases there were multiple testicular nodules, in seven there was a single mass, and in the rest there was diffuse involvement. Secondary neoplasms represented 4.6% of all testicular neoplasms at autopsy, and 1.6% in surgical specimens. There were five secondary penile neoplasms: two each from the pancreas and prostate and one from the bladder. Two neoplasms metastatic to the spermatic cord, both from a gastric primary, were included in the series. Secondary neoplasms of the testis occur with a frequency comparable to other sites in the genitourinary tract, and metastases to the spermatic cord, epididymis, and penis, are rare in comparison. Disseminated neoplasms rarely present initially at this site and are histologically distinctive in adults, but in children they must be distinguished from primary small round blue cell tumours.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Testicular metastasis as the first manifestation of colon carcinoma.

            Metastatic carcinoma to the testes is uncommon, and it is most often found incidentally at autopsy or after orchiectomy for prostatic carcinoma. One of the rarest causes of testicular tumor is metastasis from another primary site. It is even more unusual when the metastasis to the testicle is the first manifestation of the tumor. We report a case of asymptomatic colon carcinoma presenting as metastases to the testis and epididymis, which was diagnosed after biopsy of testicular nodules. Although nonlymphomatous cancer presenting as an intrascrotal mass is extremely rare, seldom detected clinically and almost never the first sign of disease, it should be considered a possibility, even in the young adult who presents with a mass involving the testicle or epididymis.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Metastatic tumor of the epididymis and spermatic cord.

              We report a case of adenocarcinoma of the tail of the pancreas which was manifested by metastases to the spermatic cord and epididymis. 8.1% of the malignant tumors of the spermatic cord and/or epididymis are metastatic. After reviewing the literature on this subject, we found that the most frequent primary tumors metastatic to the spermatic cord and epididymis are carcinomas from the stomach (42.8%) and the prostate (28.5%). 23.8% of these metastases are subclinical and when discovered the wrong diagnosis is always made concerning the origin of the primary tumor. Only uncommonly (9.5%) are they the first sign of an occult neoplasm. In 47.6% of the cases, the metastases and the primary tumor are found simultaneously. The average survival, subsequent to the diagnosis of the metastasis, is 9.1 months.
                Bookmark

                Author and article information

                Journal
                Cases J
                Cases Journal
                BioMed Central
                1757-1626
                2009
                16 January 2009
                : 2
                : 61
                Affiliations
                [1 ]2nd Surgical Department, Aristotle University of Thessaloniki, "G. Gennimatas" General Hospital, Thessaloniki, Greece
                Article
                1757-1626-2-61
                10.1186/1757-1626-2-61
                2647912
                19149893
                1d536bbb-3a0e-42ba-928e-141cc4460e8d
                Copyright ©2009 Galanis et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 31 October 2008
                : 16 January 2009
                Categories
                Case Report

                Medicine
                Medicine

                Comments

                Comment on this article