Metastatic tumor of tunica vaginalis testis with hydrocele in a patient with gastric cancer

Jong Lee, Seung Chul Kang, Jung Hyun Ban, Dong Shik Shin, Jeong Kyun Yeo, Dong Hee Yoon, Du Geon Moon, Duck Ki Yoon

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Metastatic tumors of the tunica vaginalis testis from gastric cancer are extremely rare. We report here on a case of a 48-year-old man who had undergone total gastrectomy due to advanced gastric cancer 23 months previously, and he presented with right painless scrotal swelling. A hard mass was palpated along the right spermatic cord and there was an associated hydrocele around the mass. Ultrasonography showed homogenous hypoechoic lesions in the spermatic cord and anechoic lesion superior to the right testis, which was suggestive of hydrocele of the testis. Exploration was performed via inguinal incision. Multiple hemorrhagic small nodules were noted on the surface of the tunica vaginalis. Also, a tumor in the spermatic cord was present beyond the inner inguinal ring. On microscopic examination, adenocarcinoma cell nests, which were consistent with primary gastric cancer, were found in the tunica vaginalis testis, spermatic cord and peritesticular soft tissue, but not within the parenchyme of the testis or epididymis.

Original languageEnglish
Pages (from-to)667-669
Number of pages3
JournalKorean Journal of Urology
Volume48
Issue number6
Publication statusPublished - 2007 Jun 1

Fingerprint

Spermatic Cord
Stomach Neoplasms
Testis
Neoplasms
Inguinal Canal
Groin
Epididymis
Testicular Neoplasms
Gastrectomy
Ultrasonography
Adenocarcinoma

Keywords

  • Gastric cancer
  • Metastasis
  • Scrotal hydrocele
  • Spermatic cord

ASJC Scopus subject areas

  • Urology

Cite this

Lee, J., Kang, S. C., Ban, J. H., Shin, D. S., Yeo, J. K., Yoon, D. H., ... Yoon, D. K. (2007). Metastatic tumor of tunica vaginalis testis with hydrocele in a patient with gastric cancer. Korean Journal of Urology, 48(6), 667-669.

Metastatic tumor of tunica vaginalis testis with hydrocele in a patient with gastric cancer. / Lee, Jong; Kang, Seung Chul; Ban, Jung Hyun; Shin, Dong Shik; Yeo, Jeong Kyun; Yoon, Dong Hee; Moon, Du Geon; Yoon, Duck Ki.

In: Korean Journal of Urology, Vol. 48, No. 6, 01.06.2007, p. 667-669.

Research output: Contribution to journalArticle

Lee, J, Kang, SC, Ban, JH, Shin, DS, Yeo, JK, Yoon, DH, Moon, DG & Yoon, DK 2007, 'Metastatic tumor of tunica vaginalis testis with hydrocele in a patient with gastric cancer', Korean Journal of Urology, vol. 48, no. 6, pp. 667-669.
Lee J, Kang SC, Ban JH, Shin DS, Yeo JK, Yoon DH et al. Metastatic tumor of tunica vaginalis testis with hydrocele in a patient with gastric cancer. Korean Journal of Urology. 2007 Jun 1;48(6):667-669.
Lee, Jong ; Kang, Seung Chul ; Ban, Jung Hyun ; Shin, Dong Shik ; Yeo, Jeong Kyun ; Yoon, Dong Hee ; Moon, Du Geon ; Yoon, Duck Ki. / Metastatic tumor of tunica vaginalis testis with hydrocele in a patient with gastric cancer. In: Korean Journal of Urology. 2007 ; Vol. 48, No. 6. pp. 667-669.
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AB - Metastatic tumors of the tunica vaginalis testis from gastric cancer are extremely rare. We report here on a case of a 48-year-old man who had undergone total gastrectomy due to advanced gastric cancer 23 months previously, and he presented with right painless scrotal swelling. A hard mass was palpated along the right spermatic cord and there was an associated hydrocele around the mass. Ultrasonography showed homogenous hypoechoic lesions in the spermatic cord and anechoic lesion superior to the right testis, which was suggestive of hydrocele of the testis. Exploration was performed via inguinal incision. Multiple hemorrhagic small nodules were noted on the surface of the tunica vaginalis. Also, a tumor in the spermatic cord was present beyond the inner inguinal ring. On microscopic examination, adenocarcinoma cell nests, which were consistent with primary gastric cancer, were found in the tunica vaginalis testis, spermatic cord and peritesticular soft tissue, but not within the parenchyme of the testis or epididymis.

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