title: Spermatic cord metastasis of primary hepatocellular carcinoma presenting as an inguinal mass: a case report.
abstract: Most spermatic cord masses are benign, and malignant spermatic cord tumors are uncommon. Spermatic cord metastases originating from hepatocellular carcinoma (HCC) have not been previously reported in the English language literature as determined by a PubMed search. We report a male patient who presented with a painful palpable mass in the right inguinal area. The patient was diagnosed with HCC in 2004 and undertook a nonsurgical approach to control the cancer. A radical orchiectomy was performed, and the pathological report showed metastatic HCC in the spermatic cord. The patient received palliative radiation therapy because of a positive surgical margin. No recurrence was noted after 6 months of followup.
authors.affiliation: Division of Urology, Department of Surgery, Changhua Christian Hospital, 135 Nanxiao Street, Changhua City, Changhua County 500, Taiwan.
authors.forename: Heng-Chieh
authors.initials: HC
authors.lastname: Chiang
authors.forename: Pao-Hwa
authors.initials: PH
authors.lastname: Chen
authors.forename: Hung-Jen
authors.initials: HJ
authors.lastname: Shih
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