Late-onset metastatic adenocarcinoma of the spermatic cord from primary gastric cancer.
BACKGROUND
Metastatic cancers of the paratesticular tissue are very rare; however, the most frequent primary site of spermatic cord metastasis is the gastrointestinal tract.


METHODS
We recently observed two cases of late-onset metastatic adenocarcinoma of the spermatic cord. Both patients complained of groin discomfort with a palpable mass in the scrotum and inguinal area. Radical orchiectomy and adjuvant chemotherapy were performed in both patients. Although the prognosis of patients with metastatic adenocarcinoma of the spermatic cord is typically poor, the prognosis of our patients was favorable after follow-up for 14 to 18 months.


CONCLUSIONS
In patients with groin discomfort or swelling and a history of gastric cancer, metastatic adenocarcinoma should be included in the differential diagnosis for early detection of tumors.
Jae Heon
JH
Kim
Department of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 23-20, Bongmyeongdong, Cheonan, Chungnam 330-721, Korea. urokds@schmc.ac.kr.
Doo Sang
DS
Kim
Hyun Deuk
HD
Cho
Moon Su
MS
Lee
D000230:Adenocarcinoma / Q000556:secondary* / Q000628:therapy; D017668:Age of Onset; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D005834:Genital Neoplasms, Male / Q000556:secondary* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D011379:Prognosis; D013085:Spermatic Cord / Q000473:pathology*; D013274:Stomach Neoplasms / Q000473:pathology* / Q000628:therapy