Sato Ryo, Kakinuma Shungo, Mochizuki Shunsuke, Uchiyama Asuka, Meguro Shiori, Matsumoto Rikiya
Department of Urology, Chutoen General Medical Center, Kakegawa, JPN.
Department of Urology, Hamamatsu University School of Medicine, Hamamatsu, JPN.
Cureus. 2025 Mar 16;17(3):e80679. doi: 10.7759/cureus.80679. eCollection 2025 Mar.
We report a rare case of spermatic cord (SC) metastasis in a 44-year-old man with a history of transverse colon cancer. He had undergone laparoscopic right hemicolectomy followed by adjuvant chemotherapy and remained under routine follow-ups with no signs of recurrence. He presented with painless right scrotal swelling, and imaging revealed an SC tumor (SCT). Serum tumor markers were within the normal ranges. Radical orchiectomy was performed, and histopathology confirmed metastatic adenocarcinoma from the transverse colon. Local recurrence was detected four months postoperatively, and the patient is currently receiving multidisciplinary treatment. Metastatic SCTs, although rare, need to be considered in patients with a history of gastrointestinal cancer, even without elevated tumor markers.
我们报告了一例罕见的精索转移病例，患者为一名44岁有横结肠癌病史的男性。他接受了腹腔镜右半结肠切除术，随后进行了辅助化疗，并一直接受常规随访，无复发迹象。他因右侧阴囊无痛性肿胀就诊，影像学检查发现一个精索肿瘤（SCT）。血清肿瘤标志物在正常范围内。实施了根治性睾丸切除术，组织病理学证实为来自横结肠的转移性腺癌。术后四个月检测到局部复发，患者目前正在接受多学科治疗。转移性SCT虽然罕见，但对于有胃肠道癌病史的患者，即使肿瘤标志物未升高，也需要考虑到这种情况。
