Fu Jing, Luo Jindan, Ye Huajian, Chen Yaokang, Xie Liping
Department of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310003, People's Republic of China.
Department of Urology, Shaoxing Second Hospital, Shaoxing, Zhejiang, 312000, People's Republic of China.
Cancer Manag Res. 2021 Feb 23;13:1897-1900. doi: 10.2147/CMAR.S286909. eCollection 2021.
The metastasis of gastric cancer to the testis or spermatic cord is very rare; however, simultaneous testicular and spermatic cord metastases are even rarer. Here, we report an unusual case of a 54-year-old male patient who had undergone radical gastrectomy for gastric adenocarcinoma more than two years before. He complained of palpable painful masses in the right scrotum and inguinal area occurring for more than half a year. Enhanced computed tomography (CT) separately showed an enhanced soft tissue mass in the right testicular and spermatic cord areas. Therefore, a right radical orchiectomy was conducted. The pathology was consistent with the metastases of gastric adenocarcinoma.
胃癌转移至睾丸或精索非常罕见；然而，同时发生睾丸和精索转移的情况更为罕见。在此，我们报告一例不寻常的病例，一名54岁男性患者，两年多前因胃腺癌接受了根治性胃切除术。他主诉右侧阴囊和腹股沟区可触及疼痛性肿块，已持续半年多。增强计算机断层扫描（CT）分别显示右侧睾丸和精索区域有强化的软组织肿块。因此，进行了右侧根治性睾丸切除术。病理结果与胃腺癌转移相符。
