Testicular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis: a case report
Abstract Background Metastatic testicular cancer is rare. In particular, primary colorectal cancer rarely metastasizes to the testes. This study reports a case of testicular metastasis recurrence 9 years after the resection of a primary colorectal cancer and a simultaneous metastatic lung tumour. Ca...
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| Language: | English |
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Japan Surgical Society
2023-06-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01684-x |
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| author | Daishi Yoshimura Yuki Sekido Hidekazu Takahashi Tsuyoshi Hata Atsushi Hamabe Takayuki Ogino Norikatsu Miyoshi Mamoru Uemura Hirofumi Yamamoto Yuichiro Doki Hidetoshi Eguchi |
| author_facet | Daishi Yoshimura Yuki Sekido Hidekazu Takahashi Tsuyoshi Hata Atsushi Hamabe Takayuki Ogino Norikatsu Miyoshi Mamoru Uemura Hirofumi Yamamoto Yuichiro Doki Hidetoshi Eguchi |
| author_sort | Daishi Yoshimura |
| collection | DOAJ |
| description | Abstract Background Metastatic testicular cancer is rare. In particular, primary colorectal cancer rarely metastasizes to the testes. This study reports a case of testicular metastasis recurrence 9 years after the resection of a primary colorectal cancer and a simultaneous metastatic lung tumour. Case presentation A 69-year-old man underwent a laparoscopic left hemicolectomy for descending colon cancer. Preoperative computed tomography revealed a solitary left lung mass. Postoperative chemotherapy reduced the size of the lung mass, and 6 months after the primary resection, the patient underwent a left upper segmentectomy. Based on the pathological examination, he was diagnosed with pulmonary metastasis from colorectal cancer. After four courses of adjuvant chemotherapy, the patient was recurrence-free. However, 9 years and 6 months after the primary resection, he complained of discomfort in his left testicle. Physical examination revealed a left testicular mass. Since a malignancy was not excluded via imaging, left testicular resection was performed to confirm the diagnosis. The pathological diagnosis was testicular metastasis from colorectal cancer. The patient was followed up without medication, and remained healthy, without recurrence, 11 months postoperatively. Conclusions It is important to follow up with testicular metastasis in mind, although it is rare. |
| format | Article |
| id | doaj-art-4efba695bb484f2c947f59d7c1c525ff |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-4efba695bb484f2c947f59d7c1c525ff2025-08-20T03:14:41ZengJapan Surgical SocietySurgical Case Reports2198-77932023-06-01911810.1186/s40792-023-01684-xTesticular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis: a case reportDaishi Yoshimura0Yuki Sekido1Hidekazu Takahashi2Tsuyoshi Hata3Atsushi Hamabe4Takayuki Ogino5Norikatsu Miyoshi6Mamoru Uemura7Hirofumi Yamamoto8Yuichiro Doki9Hidetoshi Eguchi10Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityAbstract Background Metastatic testicular cancer is rare. In particular, primary colorectal cancer rarely metastasizes to the testes. This study reports a case of testicular metastasis recurrence 9 years after the resection of a primary colorectal cancer and a simultaneous metastatic lung tumour. Case presentation A 69-year-old man underwent a laparoscopic left hemicolectomy for descending colon cancer. Preoperative computed tomography revealed a solitary left lung mass. Postoperative chemotherapy reduced the size of the lung mass, and 6 months after the primary resection, the patient underwent a left upper segmentectomy. Based on the pathological examination, he was diagnosed with pulmonary metastasis from colorectal cancer. After four courses of adjuvant chemotherapy, the patient was recurrence-free. However, 9 years and 6 months after the primary resection, he complained of discomfort in his left testicle. Physical examination revealed a left testicular mass. Since a malignancy was not excluded via imaging, left testicular resection was performed to confirm the diagnosis. The pathological diagnosis was testicular metastasis from colorectal cancer. The patient was followed up without medication, and remained healthy, without recurrence, 11 months postoperatively. Conclusions It is important to follow up with testicular metastasis in mind, although it is rare.https://doi.org/10.1186/s40792-023-01684-xColorectal cancerTesticular metastasisHeterochronic recurrence |
| spellingShingle | Daishi Yoshimura Yuki Sekido Hidekazu Takahashi Tsuyoshi Hata Atsushi Hamabe Takayuki Ogino Norikatsu Miyoshi Mamoru Uemura Hirofumi Yamamoto Yuichiro Doki Hidetoshi Eguchi Testicular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis: a case report Surgical Case Reports Colorectal cancer Testicular metastasis Heterochronic recurrence |
| title | Testicular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis: a case report |
| title_full | Testicular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis: a case report |
| title_fullStr | Testicular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis: a case report |
| title_full_unstemmed | Testicular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis: a case report |
| title_short | Testicular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis: a case report |
| title_sort | testicular metastasis 9 years after resection of primary descending colon cancer with simultaneous pulmonary metastasis a case report |
| topic | Colorectal cancer Testicular metastasis Heterochronic recurrence |
| url | https://doi.org/10.1186/s40792-023-01684-x |
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