Colon Cancer Metastasis to the Right Testis: Case Report and Review of Literature.

Case Reports in Urology Pub Date : 2022-08-18 eCollection Date: 2022-01-01 DOI:10.1155/2022/2649259

Mizuki Kasahara, Tomo Shimizu, Hiroshi Aoki, Mizuho Okawa, Fumito Yamabe, Hideyuki Kobayashi, Koichi Nagao, Koichi Nakajima, Yozo Mitsui

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Abstract

Introduction: A metastatic testicular tumor is uncommon. We report here a case of testicular metastasis associated with recurrent colorectal cancer. Case Presentation. A 75-year-old male was presented with right scrotum pain one year after undergoing a right hemicolectomy combined with resection of the small intestine and omentum for ascending colon cancer (pT4N0M0). Magnetic resonance imaging of the pelvis showed a 7.3 × 5.4 × 4.5 cm mass consisting of a cystic solid tumor. A right inguinal orchiectomy was performed and right testicular pain improved after surgery. Pathology results showed that the tumor was a metastatic adenocarcinoma. The patient subsequently died two months later due to progression of the colon cancer.

Conclusion: Although colorectal cancer metastasis to the testis is very uncommon, it should be kept in mind in clinical situations, especially for older males with a testicular mass or discomfort.

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结肠癌转移至右睾丸：病例报告和文献综述。

简介转移性睾丸肿瘤并不常见。我们在此报告一例伴有复发性结肠直肠癌的睾丸转移病例。病例介绍。一名 75 岁的男性因患升结肠癌（pT4N0M0）接受右半结肠切除术和小肠及网膜切除术一年后出现右侧阴囊疼痛。骨盆磁共振成像显示，该患者有一个 7.3 × 5.4 × 4.5 厘米的囊性实体瘤肿块。患者接受了右侧腹股沟睾丸切除术，术后右侧睾丸疼痛有所改善。病理结果显示肿瘤为转移性腺癌。两个月后，患者因结肠癌恶化而死亡：虽然结肠癌转移到睾丸的情况非常少见，但在临床上，尤其是对有睾丸肿块或不适的老年男性来说，应牢记这一点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Case Reports in Urology

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13 weeks