Testicular Metastasis as an Initial Manifestation of Gastrointestinal Cancer
2021
Metastatic
small bowel tumors in the testes are uncommon often indicating an advanced stage
of sickness with poor prognosis. The route of spread to the scrotal level has not
yet been defined. The most of these tumors are diagnosed at autopsy or orchiectomy for metastatic
carcinoma. The diagnosis is mainly based on histological and immunohistochemical data. In this
paper, we report the case of a 36-year-old patient
with a spermatic torsion secondary to a testis metastasis from an adenocarcinoma
of the small intestine confirmed histologically, occurring
as first clinical manifestation that was taken care in the medical oncology department
of CHU Hassan II in Fes. The aim of the subject is to highlight this rare metastatic
localization of gastrointestinal cancer; how
to approach the diagnosis and distinguish between primary testicular cancer
and testicular metastasis; by describing the different clinical, radiological and
anatomopathological aspects of metastatic gastrointestinal cancer to the testis.
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