Kageyama Y, Kawakami S, Li G, Kihara K, Oshima H, Teramoto K
Department of Urology, School of Medicine, Tokyo Medical and Dental University.
Hinyokika Kiyo. 1997 Jun;43(6):429-31.
A 62-year-old man with advanced gastric cancer was admitted with a swelling of the left scrotum. He had undergone subtotal and total gastrectomies 10 and 5 years earlier, respectively. A hard mass was palpated along the left spermatic cord associated with hydrocele testis. A left high orhiectomy was performed. Multiple small nodules were noted on the surface of the tunica vaginalis. Also, a tumor in the spermatic cord was present at the level of the internal inguinal ring, protruding into the peritoneal cavity and adherent to the colon. Peritonitis carcinomatosa was recognized. Histopathological diagnosis was tubular adenocarcinoma showing extensive vascular invasion, consistent with a metastasis from gastric cancer.
一名62岁的晚期胃癌男性因左侧阴囊肿胀入院。他分别在10年前和5年前接受了胃次全切除术和全胃切除术。沿左侧精索可触及一个硬肿块，伴有睾丸鞘膜积液。进行了左侧高位睾丸切除术。在睾丸鞘膜表面发现多个小结节。此外，在腹股沟内环水平的精索处有一个肿瘤，突入腹腔并与结肠粘连。诊断为癌性腹膜炎。组织病理学诊断为管状腺癌，显示广泛的血管侵犯，符合胃癌转移。
