Scrotal wall metastasis as the first manifestation of primary gastric adenocarcinoma
| Autor: | S T Leung, Florence M F Cheung, Billy Ming Hei Lai, Jennifer L S Khoo, Chi Yeung Chu |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
endocrine system Pathology medicine.medical_specialty endocrine system diseases Adenocarcinoma urologic and male genital diseases Metastasis Scrotal wall Gastric adenocarcinoma Vascularity Stomach Neoplasms Scrotum medicine Humans Aged urogenital system business.industry General Medicine medicine.disease Occult digestive system diseases medicine.anatomical_structure Coronal plane Genital Neoplasms Male Neoplasms Unknown Primary Radiology medicine.symptom business |
| Zdroj: | Hong Kong medical journal = Xianggang yi xue za zhi. 20(1) |
| ISSN: | 1024-2708 |
| Popis: | FIG 1. (a) Longitudinal and (b) transverse sonography of the right scrotum showing a solid extra-testicular mass separated from the normal-looking right testis. (c) Increased vascularity was evident on Doppler study. (d) Axial and (e) coronal computed tomographic images of the scrotum revealing bilateral scrotal soft-tissue thickening (arrows). (f) The oesophagogastroduodenoscopy reveals an irregular ulcerative tumour (*) over the lower part of gastric body A B S T R A C T Metastases to the scrotal wall are very rare, and being the initial manifestation of occult primary tumours is even rarer. We report on a patient presenting with painless scrotal swelling, attributed to a solid extra-testicular mass found on ultrasonography. Subsequent investigations and surgical exploration revealed it to be a scrotal wall metastasis from an occult gastric primary. To our knowledge, this is the first report of a scrotal wall metastasis from gastric adenocarcinoma. The ensuing discussion and literature review highlight the diagnostic challenges posed by an extra-testicular scrotal metastasis from an occult primary tumour. |
| Databáze: | OpenAIRE |
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