Korean J Urol.  2011 Oct;52(10):718-720. 10.4111/kju.2011.52.10.718.

Solitary Testicular Metastasis of Prostate Cancer Mimicking Primary Testicular Cancer

Affiliations
  • 1Department of Urology, Kyungpook National University School of Medicine, Daegu, Korea. doctork@knu.ac.kr

Abstract

We report a rare case of testicular metastasis from prostate cancer. A 68-year-old patient presented with a right testicular mass with discomfort. He had a history of robot-assisted laparoscopic radical prostatectomy and had received adjuvant radiation therapy and had been treated with androgen deprivation therapy continuously at another institution. We performed a right inguinal orchiectomy. The testicular mass was diagnosed as a metastasis from prostate carcinoma.

Keyword

Neoplasm metastasis; Prostate neoplasms; Testicular neoplasms

MeSH Terms

Aged
Humans
Neoplasm Metastasis
Orchiectomy
Prostate
Prostatectomy
Prostatic Neoplasms
Testicular Neoplasms

Figure

  • FIG. 1 Ultrasonography showing an ovoid, hyperechoic and heterogeneous 2.4×1.7×2.0 cm sized intratesticular mass in the right testis.

  • FIG. 2 Gross photograph showing a 2.5×2.5×2.5 cm well-defined white mass pushing the adjacent normal testis tissue.

  • FIG. 3 The tumor consists of characterized tall columnar cells, which form a single or pseudostratified layer. At low magnification, infiltrating cribriform and papillary growth patterns are present (H&E, ×40).


Reference

1. Dutt N, Bates AW, Baithun SI. Secondary neoplasms of the male genital tract with different patterns of involvement in adults and children. Histopathology. 2000. 37:323–331.
2. Tu SM, Reyes A, Maa A, Bhowmick D, Pisters LL, Pettaway CA, et al. Prostate carcinoma with testicular or penile metastases. Clinical, pathologic, and immunohistochemical features. Cancer. 2002. 94:2610–2617.
3. Baykal K, Yildirim S, Inal H, Kalci E, Albayrak S, Cingil H, et al. Metastasis of prostate adenocarcinoma to testis. Int J Urol. 1997. 4:104–105.
4. Patel SR, Richardson RL, Kvols L. Metastatic cancer to the testes: a report of 20 cases and review of the literature. J Urol. 1989. 142:1003–1005.
5. Semans JH. Carcinoma of the prostate with metastases to the testes. J Urol. 1938. 40:524.
6. Pienkos EJ, Jablokow VR. Secondary testicular tumors. Cancer. 1972. 30:481–485.
7. Johansson JE, Lannes P. Metastases to the spermatic cord, epididymis and testicles from carcinoma of the prostate--five cases. Scand J Urol Nephrol. 1983. 17:249–251.
8. Kim SO, Choi YD, Jung SI, Oh KJ, Im CM, Kang TW, et al. Prostate cancer with solitary metastases to the bilateral testis. Yonsei Med J. 2011. 52:362–364.
9. Price EB Jr, Mostofi FK. Secondary carcinoma of the testis. Cancer. 1957. 10:592–595.
10. Howard DE, Hicks WK, Scheldrup EW. Carcinoma of the prostate with simultaneous bilateral testicular metastases; case report with special study of routes of metastases. J Urol. 1957. 78:58–64.
Full Text Links
  • KJU
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr