Ann Coloproctol.  2015 Oct;31(5):202-204. 10.3393/ac.2015.31.5.202.

Metastatic Spermatic Cord Tumor From Colorectal Cancer

Affiliations
  • 1Department of Internal Medicine, Good Samsun Hospital, Busan, Korea. mjpark520@hanmail.net
  • 2Department of Pathology, Good Samsun Hospital, Busan, Korea.
  • 3Department of Radiology, Good Samsun Hospital, Busan, Korea.
  • 4Department of Surgery, Good Samsun Hospital, Busan, Korea.

Abstract

Metastatic tumors of the spermatic cord are extremely rare, and the prognosis for patients is typically poor. In the majority of cases, the primary tumor occurs in the gastrointestinal tract. We report a case of a 62-year-old man with a metastatic spermatic cord tumor. The patient complained of groin discomfort with a tender mass in the right inguinal area. An excisional biopsy was performed, and the pathologic finding was a metastatic mucinous adenocarcinoma. We performed a systemic evaluation including colonoscopy, abdominal computed tomography, and total-body positron emission tomography, and the primary tumor was confirmed to involve the total colon, including the cecum, sigmoid colon, and rectum. The pathologic finding for rectum revealed a mucinous adenocarcinoma compatible with a metastatic spermatic cord tumor.

Keyword

Spermatic cord; Neoplasm metastasis; Colorectal neoplasms

MeSH Terms

Adenocarcinoma, Mucinous
Biopsy
Cecum
Colon
Colon, Sigmoid
Colonoscopy
Colorectal Neoplasms*
Gastrointestinal Tract
Groin
Humans
Middle Aged
Neoplasm Metastasis
Positron-Emission Tomography
Prognosis
Rectum
Spermatic Cord*
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