Kirkali Z, Reid R, Deane R F, Kyle K F
Department of Urology, Western Infirmary, Glasgow.
Br J Urol. 1990 Aug;66(2):205-7. doi: 10.1111/j.1464-410x.1990.tb14905.x.
Secondary testicular tumours are rare, but metastasis of prostatic carcinoma to the testis is being reported more frequently. While this may not reflect a true increased incidence, more cases are detected by bilateral orchiectomy. Of 916 patients with carcinoma of the prostate diagnosed and treated over a period of 10 years, 124 underwent bilateral orchiectomy. Three patients were found to have testicular metastasis, 1 being bilateral. The route of spread seems to be through the lumen and/or lymphatics of the vas deferens. Although it is a sign of advanced disease, the prognostic significance is undetermined.
