Tsouknidas Ioannis, Tasis Nikolaos, Kokkinos Charalambos, Trihia Helen, Filippou Dimitrios, Skandalakis Panagiotis, Troupis Theodoros
Naval and Veterans Hospital of Athens, Athens, Greece; Department of Anatomy, Medical School, University of Athens, Athens, Greece.
Naval and Veterans Hospital of Athens, Athens, Greece; Department of Anatomy, Medical School, University of Athens, Athens, Greece.
Int J Surg Case Rep. 2018;53:508-512. doi: 10.1016/j.ijscr.2017.12.027. Epub 2017 Dec 26.
Renal cell carcinoma (RCC) is proved to be the ninth most common malignancy. Two-third of the patients suffering from RCC will present metastases. Secondary metastases of RCC to spermatic cord are very rare.
In this report we present the case of a patient with renal cell carcinoma with metachronous metastasis to the spermatic cord occurring two years after the initial diagnosis of the disease.
Our patient was treated according to EAU guidelines. The metastatic tumor was diagnosed accidentally, in contrast to the previous follow-up exams which show no disease in the meantime. Moreover, the histological examination of the spermartic cord tumor illustrated tumor thrombus. The former examination results along with the anatomical and embryological relations of renal and spermatic cord structures indicate a hypothesis about the mechanism of this metastasis' route.
Our case is of great interest, since such cases are very few in the international literature. Therefore the presentation of this case as well as its implications should be made to the global surgery community.
肾细胞癌（RCC）被证实是第九大常见恶性肿瘤。三分之二的肾细胞癌患者会出现转移。肾细胞癌转移至精索非常罕见。
在本报告中，我们呈现了一例肾细胞癌患者的病例，该患者在疾病初诊两年后出现了异时性精索转移。
我们的患者按照欧洲泌尿外科学会（EAU）指南进行治疗。转移性肿瘤是偶然发现的，与之前的随访检查结果相反，在此期间之前的检查未发现疾病。此外，精索肿瘤的组织学检查显示有肿瘤血栓。先前的检查结果以及肾脏和精索结构的解剖学和胚胎学关系表明了关于这种转移途径机制的一种假设。
我们的病例非常有趣，因为国际文献中此类病例很少。因此，应向全球外科界介绍该病例及其意义。
