Spermatic cord metastasis in patient with colorectal adenocarcinoma: A case report and review of literature
We describe a rare instance of spermatic cord metastasis in a 30-year-old male with a history of colorectal adenocarcinoma. Despite undergoing left hemi-colectomy and adjuvant chemotherapy, the patient presented 5 years later with right groin pain and swelling, accompanied by rising carcinoembryonic...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325004145 |
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| author | Pranjal Rai, MD Pradeep Kumar, MBBS Joe Joseph, MD Dhairya A. Lakhani, MD |
| author_facet | Pranjal Rai, MD Pradeep Kumar, MBBS Joe Joseph, MD Dhairya A. Lakhani, MD |
| author_sort | Pranjal Rai, MD |
| collection | DOAJ |
| description | We describe a rare instance of spermatic cord metastasis in a 30-year-old male with a history of colorectal adenocarcinoma. Despite undergoing left hemi-colectomy and adjuvant chemotherapy, the patient presented 5 years later with right groin pain and swelling, accompanied by rising carcinoembryonic antigen (CEA) levels. Imaging and histopathological examination confirmed metastatic adenocarcinoma. The patient underwent a right sided high inguinal orchidectomy for the same followed by a course of adjuvant chemotherapy. A year later, a second recurrence was identified close to the surgical scar site, following which he underwent re-surgery followed by adjuvant chemotherapy. This case underscores the importance of long-term surveillance in colorectal cancer patients, particularly those with lymphovascular invasion (LVI), and highlights the need to consider atypical metastatic sites in follow-up assessments. Additionally, atypical clinical symptoms should be assessed cautiously as they may preclude a more insidious etiology and require a thorough assessment by the oncologist. |
| format | Article |
| id | doaj-art-c89921cb94f248e78db0f4bf60594ea4 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-c89921cb94f248e78db0f4bf60594ea42025-08-20T03:26:38ZengElsevierRadiology Case Reports1930-04332025-08-012084004400710.1016/j.radcr.2025.04.116Spermatic cord metastasis in patient with colorectal adenocarcinoma: A case report and review of literaturePranjal Rai, MD0Pradeep Kumar, MBBS1Joe Joseph, MD2Dhairya A. Lakhani, MD3Tata Memorial Hospital, Department of Radiology, Mumbai, India; Corresponding author.Tata Memorial Hospital, Department of Radiology, Mumbai, IndiaDepartment of Neuroradiology, West Virginia University, Morgantown, WV, USADepartment of Neuroradiology, West Virginia University, Morgantown, WV, USAWe describe a rare instance of spermatic cord metastasis in a 30-year-old male with a history of colorectal adenocarcinoma. Despite undergoing left hemi-colectomy and adjuvant chemotherapy, the patient presented 5 years later with right groin pain and swelling, accompanied by rising carcinoembryonic antigen (CEA) levels. Imaging and histopathological examination confirmed metastatic adenocarcinoma. The patient underwent a right sided high inguinal orchidectomy for the same followed by a course of adjuvant chemotherapy. A year later, a second recurrence was identified close to the surgical scar site, following which he underwent re-surgery followed by adjuvant chemotherapy. This case underscores the importance of long-term surveillance in colorectal cancer patients, particularly those with lymphovascular invasion (LVI), and highlights the need to consider atypical metastatic sites in follow-up assessments. Additionally, atypical clinical symptoms should be assessed cautiously as they may preclude a more insidious etiology and require a thorough assessment by the oncologist.http://www.sciencedirect.com/science/article/pii/S1930043325004145AdenocarcinomaColorectal cancerLymphovascular invasionRecurrenceSpermatic cord |
| spellingShingle | Pranjal Rai, MD Pradeep Kumar, MBBS Joe Joseph, MD Dhairya A. Lakhani, MD Spermatic cord metastasis in patient with colorectal adenocarcinoma: A case report and review of literature Radiology Case Reports Adenocarcinoma Colorectal cancer Lymphovascular invasion Recurrence Spermatic cord |
| title | Spermatic cord metastasis in patient with colorectal adenocarcinoma: A case report and review of literature |
| title_full | Spermatic cord metastasis in patient with colorectal adenocarcinoma: A case report and review of literature |
| title_fullStr | Spermatic cord metastasis in patient with colorectal adenocarcinoma: A case report and review of literature |
| title_full_unstemmed | Spermatic cord metastasis in patient with colorectal adenocarcinoma: A case report and review of literature |
| title_short | Spermatic cord metastasis in patient with colorectal adenocarcinoma: A case report and review of literature |
| title_sort | spermatic cord metastasis in patient with colorectal adenocarcinoma a case report and review of literature |
| topic | Adenocarcinoma Colorectal cancer Lymphovascular invasion Recurrence Spermatic cord |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325004145 |
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