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以睾丸肿块为表现的结直肠癌转移:病例报告及文献复习

Colorectal cancer metastasis presenting as a testicular mass: case report and review of the literature.

作者信息

Ouellette James R, Harboe-Schmidt Jens Erik, Luthringer Daniel, Brackert Sandra, Silberman Allan W

机构信息

Department of Surgery, Cedars Sinai Medical Center, Division of Surgical Oncology, Los Angeles, California, USA.

出版信息

Am Surg. 2007 Jan;73(1):79-81.

Abstract

Metastatic lesions to the testicle are uncommon. The authors report a testicular mass as the initial manifestation of distant metastasis from colorectal cancer. This case describes a 51-year-old white man who presented with an enlarged right testicle 9 months after undergoing a right hemicolectomy for a stage IIIC colon adenocarcinoma. The diagnostic and management strategy is discussed. In addition, the literature is reviewed to characterize this uncommon entity further. Although rare, testicular metastasis must be considered in patients with previously resected colorectal carcinoma.

摘要

睾丸转移瘤并不常见。作者报告了一例以睾丸肿物为首发表现的结直肠癌远处转移病例。该病例为一名51岁白人男性,在接受IIIC期结肠腺癌右半结肠切除术后9个月出现右侧睾丸肿大。文中讨论了其诊断和治疗策略。此外,还回顾了相关文献以进一步明确这一罕见病例。虽然罕见,但对于既往有结直肠癌切除术史的患者,必须考虑睾丸转移的可能性。

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