胃癌を原発とする転移性精索腫瘍の1例

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A 48-year-old male was admitted to the hospital on September 25, 1975, with the complaint of painless swelling of right scrotal content that was diagnosed as tumor of the spermatic cord and right orchiectomy by high ligation was performed. Histopathological diagnosis was made as metastatic adenocarcinoma of the spermatic cord. Neither testis nor epididymis had any microscopic abnormality. Looking for the primary lesion, x-ray examinations of the gastrointestinal tract were carried out, and revealed carcinomatous changes of the stomach. Then, endoscopic examination of the stomach and punch biopsy of the gastric mucosa were performed. Histopathological diagnosis was made as signet ring cell carcinoma .of the stomach. Therefore, this case was regarded as metastatic tumor of the spermatic cord from gastric cancer. Metastatic tumor of the spermatic cord is extremely rare, but metastatic tumor of the scrotal content from gastric cancer is very rare as well. 11 cases of metastatic tumors of the spermatic cord and 18 cases of metastatic tumors of the scrotal content from gastric cancer including our case were collected from the Japanese literature and were discussed.
泌尿器科紀要刊行会の論文