结肠癌转移至右侧睾丸：病例报告及文献综述

Colon Cancer Metastasis to the Right Testis: Case Report and Review of Literature.

作者信息

Kasahara Mizuki, Shimizu Tomo, Aoki Hiroshi, Okawa Mizuho, Yamabe Fumito, Kobayashi Hideyuki, Nagao Koichi, Nakajima Koichi, Mitsui Yozo

机构信息

Department of Urology, Toho University Faculty of Medicine, 143-8540 Tokyo, Japan.

出版信息

Case Rep Urol. 2022 Aug 18;2022:2649259. doi: 10.1155/2022/2649259. eCollection 2022.

DOI:10.1155/2022/2649259

PMID:36035642

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9411008/

Abstract

INTRODUCTION

A metastatic testicular tumor is uncommon. We report here a case of testicular metastasis associated with recurrent colorectal cancer. . A 75-year-old male was presented with right scrotum pain one year after undergoing a right hemicolectomy combined with resection of the small intestine and omentum for ascending colon cancer (pT4N0M0). Magnetic resonance imaging of the pelvis showed a 7.3 × 5.4 × 4.5 cm mass consisting of a cystic solid tumor. A right inguinal orchiectomy was performed and right testicular pain improved after surgery. Pathology results showed that the tumor was a metastatic adenocarcinoma. The patient subsequently died two months later due to progression of the colon cancer.

CONCLUSION

Although colorectal cancer metastasis to the testis is very uncommon, it should be kept in mind in clinical situations, especially for older males with a testicular mass or discomfort.

摘要

引言

转移性睾丸肿瘤并不常见。我们在此报告一例与复发性结直肠癌相关的睾丸转移病例。一名75岁男性在因升结肠癌（pT4N0M0）接受右半结肠切除术联合小肠和网膜切除术后一年出现右侧阴囊疼痛。盆腔磁共振成像显示一个7.3×5.4×4.5厘米的肿块，由囊实性肿瘤组成。进行了右侧腹股沟睾丸切除术，术后右侧睾丸疼痛缓解。病理结果显示该肿瘤为转移性腺癌。患者随后在两个月后因结肠癌进展而死亡。