Fournier G, Hubert J, Chassagne S, Menut P, Delavierre D, Mangin P
Service d'Urologie, CHU de Brest.
Prog Urol. 1995 Nov;5(5):714-6.
Metastases of renal cell carcinoma are exceptional in the spermatic cord and epididymis (17 cases reported in the literature). The authors report two cases of metastases occurring 30 and 44 months after radical nephrectomy, respectively. Both patients are alive without metastases after surgical resection, with a follow-up of 4 and 8 years after the diagnosis of renal cancer, respectively. The mechanism of development, usually retrograde venous spread, and the particular features of these metastatic sites are discussed.
肾细胞癌转移至精索和附睾的情况极为罕见（文献报道17例）。作者报告了两例分别在根治性肾切除术后30个月和44个月发生转移的病例。两名患者在手术切除后均存活且无转移，分别在诊断为肾癌后随访了4年和8年。文中讨论了转移发生的机制，通常为逆行静脉播散，以及这些转移部位的特殊特征。
