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Ann Coloproctol. 2015 Oct;31(5):202-204. English. Case Report. https://doi.org/10.3393/ac.2015.31.5.202
Jang JG , Jeong HY , Kim KS , Park MJ , Lee JS , Kim SS , Kim HY .
Department of Internal Medicine, Good Samsun Hospital, Busan, Korea. mjpark520@hanmail.net
Department of Pathology, Good Samsun Hospital, Busan, Korea.
Department of Radiology, Good Samsun Hospital, Busan, Korea.
Department 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.

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