Division of Urology, Department of Surgery, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo Hospital, Diponegoro No 71, Jakarta Pusat, Indonesia.
Asian J Surg. 2010 Jul;33(3):154-6. doi: 10.1016/S1015-9584(10)60026-7.
Metastasis of prostate carcinoma to the testis is seldom reported. The tumour may spread from the prostatic urethra by retrograde venous extension, arterial embolism or through direct invasion into the lymphatics and lumen of the vas deferens. Clinical manifestations of secondary testicular tumours from the prostate are most often unsuspected clinically and are instead detected incidentally during orchidectomy. Less frequently, a palpable mass is detected, which may be confused with a primary testicular neoplasm. We report a case of a 66-year-old patient with adenocarcinoma of the prostate, and a left testicular tumour that was diagnosed as metastases from prostate carcinoma after radical orchidectomy.
前列腺癌转移至睾丸的情况较为少见。肿瘤可能通过逆行静脉延伸、动脉栓塞或直接侵犯淋巴管和输精管腔从前列腺尿道扩散。来自前列腺的继发性睾丸肿瘤的临床表现通常在临床上无法被察觉，而是在睾丸切除术期间偶然发现。较少见的情况下，可触及肿块，这可能与原发性睾丸肿瘤混淆。我们报告了 1 例 66 岁的前列腺腺癌患者，其左侧睾丸肿瘤在根治性睾丸切除术后被诊断为前列腺癌转移。
