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Testicular Metastasis from Ileal Adenocarcinoma: A Case Report and Review of Literature

Testicular Metastasis from Ileal Adenocarcinoma: A Case Report and Review of Literature We present a metastatic adenocarcinoma to the body of the testis originating from a primary in the ileum in an 86-year-old man. To our knowledge, this has not been previously reported in the literature. We review the literature and discuss the possible pathogenesis of the metastases. As well as reporting this very rare occurrence we highlight an important message, that in men over 50 years of age in whom primary testicular germ cell tumors are rare (excluding spermatocytic seminoma), there may be a need for a careful gastro-intestinal history and examination in those presenting with a testicular mass. Although metastases to the testes are very rare, they should be considered in the differential diagnosis of a testicular mass, particularly in a patient known to have a malignancy. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Urology Karger

Testicular Metastasis from Ileal Adenocarcinoma: A Case Report and Review of Literature

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Publisher
Karger
Copyright
© 2008 S. Karger AG, Basel
ISSN
1661-7649
eISSN
1661-7657
DOI
10.1159/000115417
Publisher site
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Abstract

We present a metastatic adenocarcinoma to the body of the testis originating from a primary in the ileum in an 86-year-old man. To our knowledge, this has not been previously reported in the literature. We review the literature and discuss the possible pathogenesis of the metastases. As well as reporting this very rare occurrence we highlight an important message, that in men over 50 years of age in whom primary testicular germ cell tumors are rare (excluding spermatocytic seminoma), there may be a need for a careful gastro-intestinal history and examination in those presenting with a testicular mass. Although metastases to the testes are very rare, they should be considered in the differential diagnosis of a testicular mass, particularly in a patient known to have a malignancy.

Journal

Current Urology – Karger

Published: Jan 1, 2008

Keywords: Primary ileal adenocarcinoma; Testicular metastasis • Pathogenesis

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