Bilateral testicular metastasis of prostate adenocarcinoma: A case report

Prostate cancer is one of the most common solid organ tumors to metastasize testis. However testicular metastases, especially bilateral testicular metastases, are rarely seen cases. We present this rare case report about a 68-year-old patient with prostate cancer presented with complaints of swelling in the testis. Physical examination and radiological imaging revealed testicular metastasis of prostate cancer. As a result we believe that if patient presents with active complaints or a mass in the testicle, we should evaluate further with scrotal ultrasonography at the time of diagnosis and follow-up. Following those, testicular biopsy or orchiectomy should be performed if seen necessary.

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  • 1. Dutt N, Bates AW, Baithun SI: Secondary neoplasms of the male genital tract with different patterns of involvement in adults and children. Histopathology.2000; 37: 323-331
  • 2. Patel SR, Richardson RL, Kvols L: Metastatic cancer to the testes: a report of 20 cases and review of the literature. J Urol. 1989; 142: 1003-1005
  • 3. Richie JP, Steele GS. Neoplasms of the testis. In:Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ (eds).Campbell’sUrology, 8th edn. W.B. Saunders,Philadelphia, 2002; 2876-2919
  • 4. Ulbright TM, Young RH. Metastatic carcinoma to the testis: A clinicopathologic analysis of 26 non incidental cases wit hemphasis on deceptive features. Am J SurgPathol 2008; 32: 1683-1693
  • 5. Menon S, Gujral S, Bakshi G, Tongaonkar HB. Bilateral testicular metastasis from prostatic adenocarcinoma mimicking an intertubular pattern ofSeminoma and expressing Rhamm. J CancerResTher. 2010; 6: 97-99
  • 6. Manikandan R, Nathaniel C, Reeve N, Brough RJ.Bilateral testicular metastases from prostatic carcinoma. Int J Urol. 2006; 13: 476-477
  • 7. Grigron DJ, Shum DT, Hayman WP. Metastaticcancer of testis. Can J Surg1986; 29: 359-361
  • 8. Pienkos EA, Jablokow KR. Secondary testicular tumors. Cancer.1972; 30: 481-485
  • 9. Lyngdrof P, Nielsen K. Prostatic cancer with metastasis to the testis. UrolInt 1987; 42: 77-78
  • 10. Korkes F, Gasperini R, Korkes KL, SilvaNeto DC,Castro MG. Testicular metastases: A poor prognostic factor in patients with advanced prostate cancer.World J Urol 2009; 27: 113-115