Solitary metastasis of prostate cancer into the testicle presented 10 years after the radical treatment
Authors:
R. Zachoval 1; J. Mokriš 1; R. Matěj 2; M. Záleský 1; V. Borovička 1; V. Vik 1
Authors‘ workplace:
Urologické oddělení, Thomayerova nemocnice, Praha
1; Oddělení patologie a molekulární medicíny, Thomayerova nemocnice, Praha
2
Published in:
Prakt. Lék. 2014; 94(1): 41-43
Category:
Case Report
Overview
Presence of a testicular mass in older men should always rise a suspicion for metastasis, germ cell tumor or lymphoma. Testicular metastases are rare, and they represent about 1% of all testicular cancers. Prostate cancer is the most common cause of testicular metastases, less than 100 cases has been described in a literature till now. Mostly, these are accidental findings, verified during the histological examination of the testicles after bilateral orchiectomy or during autopsy. Clinical manifestation of metastasis is extremely rare.
We present a case report of 66 year old patient, who presented with a solitary symptomatic testicular metastasis more than 10 years after radical treatment for primary prostate cancer. Any other lesion as a sign of generalisation was not identified and the serum PSA level reached undetectable values after orchiectomy.
Keywords:
metastasis – testis – prostate cancer
Sources
1. D’Amico A, Cavalleri S, Rahmati M, et al. A case of testicular metastasis from carcinoma of the prostate. Int Urol Nephrol 1995; 27: 593–596.
2. Baykal K, Yildirim S, Inal H, et al. Metastasis of prostate adenocarcinoma to testis. Int J Urol 1997; 4: 104–105.
3. Bubendorf L, Schopfer A, Wagner U, et al. Metastatic patterns of prostate cancer: an autopsy study of 1,589 patients. Hum Pathol 2000; 31: 578–583.
4. Denoux Y, Vieillefond A, Molinié V. Lésions non tumorales et lésions pseudotumorales testiculaires et paratesticulaires. In Camparo P, Vieillefond A, Molinié V, et al. Pathologie du testicule et des organes génitaux externes masculins. Paris: Elsevier 2006; 112–132.
5. Haupt HM, Mann RB, Trump DL, Abeldoff MD. Metastatic carcinoma involving the testis. Clinical and pathologic distinction from primary testicular neoplasm. Cancer 1984; 54: 709–714.
6. 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.
7. Price EB Jr, Mostofi FK. Secondary carcinoma of the testis. Cancer 1957; 10: 592–595.
8. Ulbright TM, Young RH. Metastatic cacinoma to the testis: a clinicopathologic analysis of 26 nonincidental cases with emphasis on deceptive features. Am J Surg Pathol 2008; 32: 1683–1693.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2014 Issue 1
Most read in this issue
- Paediatric trigger finger
- Problems in quality of life assessment in seniors
- Immunoglobulin substitution therapy in patients with primary immunodeficiency
- Concept of the branch of General Practice