Nutakki Madhuri, Murhekar Kanchan V, Sundersingh Shirley, Raja Anand
Department of Surgical Oncology, Cancer Institute (WIA), Chennai, India.
J Kidney Cancer VHL. 2024 Jan 5;11(1):1-4. doi: 10.15586/jkcvhl.v11i1.282. eCollection 2024.
Secondary metastatic involvement of the testis is a rare occurrence, particularly in cases of metastasis from renal cell carcinoma (RCC). We present a case of metachronous contralateral testicular metastasis from RCC in a 55-year-old man, occurring 2 years after radical nephrectomy. Following a thorough evaluation that ruled out systemic disease, the patient underwent a Chevassu procedure and right inguinal orchidectomy. Histopathological analysis confirmed metastatic involvement of the right testis by RCC. Metastasis to the testis from RCC is uncommon, with only a few cases reported in the literature. Isolated metachronous metastasis without systemic involvement is even rarer. This case highlights the importance of considering testicular metastasis in patients with a history of RCC, emphasizing the need for comprehensive evaluation and surgical resection when feasible, as it has been associated with prolonged survival.
睾丸的继发性转移累及较为罕见，尤其是在肾细胞癌（RCC）转移的病例中。我们报告一例55岁男性患者，在根治性肾切除术后2年发生了RCC异时性对侧睾丸转移。在全面评估排除全身性疾病后，患者接受了Chevassu手术及右侧腹股沟睾丸切除术。组织病理学分析证实右侧睾丸存在RCC转移累及。RCC转移至睾丸并不常见，文献中仅报道了少数病例。孤立的异时性转移且无全身受累更为罕见。该病例凸显了对于有RCC病史患者考虑睾丸转移的重要性，强调了可行时进行全面评估和手术切除的必要性，因为这与延长生存期相关。
