Metastatic Tumor of the Spermatic Cord in Adults: A Case Report and Review

Metastatic spermatic cord (SC) tumor is extremely rare. Recently, we experienced a case of late-onset metastatic SC tumor from cecal cancer. This case is a 68-year-old man presenting with a painless right SC mass. He had undergone a right hemicolectomy for cecal cancer 6 years ago. Radical orchiecto...

Full description

Saved in:
Bibliographic Details
Main Authors: Daisaku Hirano, Mizuho Ohkawa, Ryo Hasegawa, Norimichi Okada, Naoki Ishizuka, Yoshiaki Kusumi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2015/747261
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832546507137482752
author Daisaku Hirano
Mizuho Ohkawa
Ryo Hasegawa
Norimichi Okada
Naoki Ishizuka
Yoshiaki Kusumi
author_facet Daisaku Hirano
Mizuho Ohkawa
Ryo Hasegawa
Norimichi Okada
Naoki Ishizuka
Yoshiaki Kusumi
author_sort Daisaku Hirano
collection DOAJ
description Metastatic spermatic cord (SC) tumor is extremely rare. Recently, we experienced a case of late-onset metastatic SC tumor from cecal cancer. This case is a 68-year-old man presenting with a painless right SC mass. He had undergone a right hemicolectomy for cecal cancer 6 years ago. Radical orchiectomy and adjuvant chemotherapy with S-1 were performed. No recurrence was found after one year of follow-up. We identified a total of 25 cases, including our case, on a literature search via PubMed from January 2000 to April 2015. The most frequent primary sites of the tumors metastasizing to the SC were the stomach (8 cases, 32%) and the colon (8 cases, 32%), next the liver (2 cases, 8%), and kidney (2 cases, 8%). The majority of the cases underwent radical orchiectomy for the metastatic tumors of the SC. Over half of the cases received adjuvant interventions based on the regimens for the primary tumors. Prognosis in the patients with metastatic tumor of the SC was unfavorable except for late-onset metastasis. In patients with a mass in the SC and a history of neoplasm, especially in gastrointestinal tract, the possibility of metastasis from the primary cancer should be considered.
format Article
id doaj-art-0e22f34bd4934248b714852600534346
institution Kabale University
issn 2090-696X
2090-6978
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Urology
spelling doaj-art-0e22f34bd4934248b7148526005343462025-02-03T06:48:17ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/747261747261Metastatic Tumor of the Spermatic Cord in Adults: A Case Report and ReviewDaisaku Hirano0Mizuho Ohkawa1Ryo Hasegawa2Norimichi Okada3Naoki Ishizuka4Yoshiaki Kusumi5Department of Urology, Higashimatsuyama Municipal Hospital, Higashimatsuyama 355-0005, JapanDepartment of Urology, Higashimatsuyama Municipal Hospital, Higashimatsuyama 355-0005, JapanDepartment of Urology, Higashimatsuyama Municipal Hospital, Higashimatsuyama 355-0005, JapanDepartment of Surgery, Higashimatsuyama Municipal Hospital, Higashimatsuyama 355-0005, JapanDepartment of Surgery, Higashimatsuyama Municipal Hospital, Higashimatsuyama 355-0005, JapanDepartment of Pathology, Nihon University School of Medicine, Tokyo, JapanMetastatic spermatic cord (SC) tumor is extremely rare. Recently, we experienced a case of late-onset metastatic SC tumor from cecal cancer. This case is a 68-year-old man presenting with a painless right SC mass. He had undergone a right hemicolectomy for cecal cancer 6 years ago. Radical orchiectomy and adjuvant chemotherapy with S-1 were performed. No recurrence was found after one year of follow-up. We identified a total of 25 cases, including our case, on a literature search via PubMed from January 2000 to April 2015. The most frequent primary sites of the tumors metastasizing to the SC were the stomach (8 cases, 32%) and the colon (8 cases, 32%), next the liver (2 cases, 8%), and kidney (2 cases, 8%). The majority of the cases underwent radical orchiectomy for the metastatic tumors of the SC. Over half of the cases received adjuvant interventions based on the regimens for the primary tumors. Prognosis in the patients with metastatic tumor of the SC was unfavorable except for late-onset metastasis. In patients with a mass in the SC and a history of neoplasm, especially in gastrointestinal tract, the possibility of metastasis from the primary cancer should be considered.http://dx.doi.org/10.1155/2015/747261
spellingShingle Daisaku Hirano
Mizuho Ohkawa
Ryo Hasegawa
Norimichi Okada
Naoki Ishizuka
Yoshiaki Kusumi
Metastatic Tumor of the Spermatic Cord in Adults: A Case Report and Review
Case Reports in Urology
title Metastatic Tumor of the Spermatic Cord in Adults: A Case Report and Review
title_full Metastatic Tumor of the Spermatic Cord in Adults: A Case Report and Review
title_fullStr Metastatic Tumor of the Spermatic Cord in Adults: A Case Report and Review
title_full_unstemmed Metastatic Tumor of the Spermatic Cord in Adults: A Case Report and Review
title_short Metastatic Tumor of the Spermatic Cord in Adults: A Case Report and Review
title_sort metastatic tumor of the spermatic cord in adults a case report and review
url http://dx.doi.org/10.1155/2015/747261
work_keys_str_mv AT daisakuhirano metastatictumorofthespermaticcordinadultsacasereportandreview
AT mizuhoohkawa metastatictumorofthespermaticcordinadultsacasereportandreview
AT ryohasegawa metastatictumorofthespermaticcordinadultsacasereportandreview
AT norimichiokada metastatictumorofthespermaticcordinadultsacasereportandreview
AT naokiishizuka metastatictumorofthespermaticcordinadultsacasereportandreview
AT yoshiakikusumi metastatictumorofthespermaticcordinadultsacasereportandreview