Metastatic tumor of the spermatic cord from a primary silent colorectal adenocarcinoma.
Tumors of the spermatic cord are indeed rare and 91% are of mesenchymal origin. Nearly all epithelial tumors are metastases with the primary tumor located in the gastrointestinal tract, prostate, kidney. In 9.5% of cases, initial symptoms are localized to the metastatic site prior to the discovery of the primary tumor. When a diagnosis of epithelial malignant tumor of the spermatic cord is made an investigation for the primary site must be performed. We report a case of metastatic tumor of the right spermatic cord occurring as first clinical manifestation of a silent adenocarcinoma of the sigmoid colon.
Melone
F
F
Department of Urology, National Institute of Research INRCA, Florence.
Olmastroni
M
M
Petacchi
D
D
Bianchi
S
S
Messerini
L
L
Farina
U
U
D000230:Adenocarcinoma / Q000556:secondary*; D015179:Colorectal Neoplasms / Q000473:pathology*; D005834:Genital Neoplasms, Male / Q000556:secondary*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013085:Spermatic Cord