Metastatic testicular tumor presenting as a scrotal hydrocele: An initial manifestation of pancreatic adenocarcinoma

Kim,Yeon Wook; Kim,Jin Won; Kim,Jee‑Hyun; Lee,Jungsil; Lee,Euijae; Kim,Moon Young; Yang,Hyun Kyung; Chang,Hyun

doi:10.3892/ol.2014.2009

June-2014 Volume 7 Issue 6

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June-2014 Volume 7 Issue 6

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Article

Metastatic testicular tumor presenting as a scrotal hydrocele: An initial manifestation of pancreatic adenocarcinoma

Authors:
- Yeon Wook Kim
- Jin Won Kim
- Jee‑Hyun Kim
- Jungsil Lee
- Euijae Lee
- Moon Young Kim
- Hyun Kyung Yang
- Hyun Chang
View Affiliations / Copyright

Affiliations: Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea, Division of Hematology and Medical Oncology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea, Department of Pathology, Seoul National University Hospital, Seoul, Republic of Korea, Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
Pages: 1793-1795
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Published online on: March 28, 2014

https://doi.org/10.3892/ol.2014.2009
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Abstract

Metastatic pancreatic adenocarcinoma involving the testis is a rare condition with a poor prognosis. The current study describes the case of a 69‑year‑old male who presented with a painful swelling of the left scrotum. Scrotal ultrasonography revealed hydroceles in the scrotal sacs, with the left one being larger in size. The patient underwent left hydrocelectomy and was eventually diagnosed with metastatic adenocarcinoma. Abdominal computed tomography, which was performed to detect the primary cancer, showed a pancreatic tail carcinoma with liver and multiple lymph node metastases, and peritoneal carcinomatosis. The patient received gemcitabine-based chemotherapy but resulted in progressive disease. This case shows that in a patient in whom a primary testicular tumor is unusual due to their age, a testicular mass or hydrocele should be a suspect for possible metastatic disease.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Metastatic testicular tumor presenting as a scrotal hydrocele: An initial manifestation of pancreatic adenocarcinoma

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