Korean J Urol.  2009 Nov;50(11):1151-1153.

Scrotal Hydrocele as the First Clinical Manifestation of Occult Gastric Cancer

• Yeo JK

Abstract

We report a rare case of a metastatic tumor of the tunica vaginalis and epididymis with hydrocele from occult gastric cancer. A 72-year-old patient showed a painless scrotal swelling. Scrotal ultrasound showed a right hydrocele and a follow-up hydrocelectomy showed a mass on the epididymis. The operation was thus converted to radical orchiectomy. The tumor was revealed as an adenocarcinoma in the tunica vaginalis and epididymis. Abdominal computed tomography found gastric cancer, which was confirmed by a gastric fibroscopy biopsy. The patient was referred to the hemato-oncology department for chemotherapy but died after 3 months.

Keyword

Adenocarcinoma; Stomach; Testicular hydrocele

MeSH Terms

Adenocarcinoma
Aged
Biopsy
Epididymis
Follow-Up Studies
Humans
Male
Orchiectomy
Stomach
Stomach Neoplasms
Testicular Hydrocele

Figure

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  Fig. 1 Scrotal sonogram showing an anechoic cystic lesion on the right testis. The testis was displaced downward.

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  Fig. 2 (A) Gross specimen showing an encapsulated yellow-whitish mass (gray arrow) in the epididymis. (B) Signet ring cells are present in the fibrous tissue of the epididymis (H&E, ×400).

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  Fig. 3 Computed tomography showing a heterogeneous tumor (black arrow) with an irregular margin in the antrum and body of the stomach associated with hepatic metastasis (dotted arrow) and multiple retroperitoneal lymphadenopathies (gray arrow).

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