title: Laparoscopic Diagnosis for Spermatic Cord Metastasis from Esophageal Squamous Cell Carcinoma: Report of a Case.
abstract: We report a case of previously unreported metastasis to the spermatic cord from esophageal squamous cell carcinoma. A 63-year-old Japanese man underwent laparoscopy-assisted esophageal bypass surgery for an advanced esophageal cancer. An elastic hard tumor was found in the right lateral inguinal fossa on intraoperative laparoscopy, and laparoscopic enucleation was performed. Histological examination of the resected tumor revealed a moderately differentiated squamous cell carcinoma, compatible with metastasis from the esophageal cancer. Two months after the operation, computed tomography revealed a heterogeneously enhanced groin mass (20 mm in diameter) involving the right spermatic cord. To our knowledge, this is the first reported case of a solitary metastasis to the spermatic cord from esophageal squamous cell carcinoma.
authors.affiliation: Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Matsutani
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Nomura
authors.forename: Nobutoshi
authors.initials: N
authors.lastname: Hagiwara
authors.forename: Itsuo
authors.initials: I
authors.lastname: Fujita
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kanazawa
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kakinuma
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kanno
authors.forename: Akihisa
authors.initials: A
authors.lastname: Matsuda
authors.forename: Eiji
authors.initials: E
authors.lastname: Uchida
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery; D004938:Esophageal Neoplasms / Q000473:pathology* / Q000601:surgery; D005834:Genital Neoplasms, Male / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013085:Spermatic Cord / Q000473:pathology*; D014057:Tomography, X-Ray Computed