Metastatic tumor of spermatic cord and tunica vaginalis testis from gastric cancer: a case report
Kageyama, Y.; Kawakami, S.; Li, G.; Kihara, K.; Oshima, H.; Teramoto, K.
Hinyokika Kiyo. Acta Urologica Japonica 43(6): 429-431
1997
ISSN/ISBN: 0018-1994 PMID: 9250494 Document Number: 479911
A 62-year-old man with advanced gastric cancer was admitted with a swelling of the left scrotum. He had undergone subtotal and total gastrectomies 10 and 5 years earlier, respectively. A hard mass was palpated along the left spermatic cord associated with a hydrocele testis. A left high orchiectomy was performed. Multiple small nodules were noted on the surface of the tunica vaginalis. Also, a tumor in the spermatic cord was present at the level of the internal inguinal ring, protruding into the peritoneal cavity and adherent to the colon. Peritonitis carcinomatosa was recognized. Histopatological diagnosis was tubular adenocarcinoma showing extensive vascular invasion, consistent with a metastasis from gastric cancer.