title: Metastasis to pampiniform plexus from left renal adenocarcinoma presenting with acute varicocele.
abstract: A case of metastatic adenocarcinoma from the left kidney to the veins of the pampiniform plexus is described following initial presentation with an acute varicocele. It provides further evidence to support the retrograde venous route for intrascrotal secondary malignancy and also for low ligation of the left testicular vein at radical nephrectomy.
mesh_terms: D000208:Acute Disease; D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary*; D000368:Aged; D005834:Genital Neoplasms, Male / Q000473:pathology / Q000556:secondary*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D009392:Nephrectomy / Q000379:methods; D013085:Spermatic Cord; D013737:Testis / Q000098:blood supply; D014646:Varicocele / Q000150:complications*