Li B, Cai H, Kang ZC, Wu H, Hou JG, Ma LY. Testicular metastasis from gastric carcinoma: A case report. World J Gastroenterol 2015; 21(21): 6764-6768 [PMID: 26074716 DOI: 10.3748/wjg.v21.i21.6764]
Corresponding Author of This Article
Li-Ye Ma, MD, PhD, Professor, Department of General Surgery, Changhai Hospital, Second Military Medical University, No. 168 Changhai Road, Shanghai 200433, China. malydr@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jun 7, 2015; 21(21): 6764-6768 Published online Jun 7, 2015. doi: 10.3748/wjg.v21.i21.6764
Testicular metastasis from gastric carcinoma: A case report
Bo Li, Hui Cai, Zheng-Chun Kang, Hao Wu, Jian-Guo Hou, Li-Ye Ma
Bo Li, Hui Cai, Zheng-Chun Kang, Jian-Guo Hou, Li-Ye Ma, Department of General Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
Hao Wu, Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
Jian-Guo Hou, Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
Author contributions: Li B collected the data, designed the report and drafted the first version; Cai H, Kang ZC, Wu H and Hou JG critically read the draft; Ma LY supervised the data collection and drafted subsequent versions of this manuscript.
Informed consent: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Li-Ye Ma, MD, PhD, Professor, Department of General Surgery, Changhai Hospital, Second Military Medical University, No. 168 Changhai Road, Shanghai 200433, China. malydr@163.com
Telephone: +86-21-31161591 Fax: +86-21-31161591
Received: November 24, 2014 Peer-review started: November 24, 2014 First decision: December 26, 2014 Revised: January 14, 2015 Accepted: February 5, 2015 Article in press: February 5, 2015 Published online: June 7, 2015 Processing time: 199 Days and 7.7 Hours
Abstract
Gastric cancer (GC) is the most prevalent malignancy in the world, especially in China. GC has been postulated to spread via several different routes, including through hematogenous channels, lymphatic vessels, the seeding of peritoneal surfaces, direct extension through the gastric wall, and retrograde extension through the vas deferens or lymphatics. Testicular metastasis is rare. We show here a 53-year-old patient with GC who underwent a radical total gastrectomy approximately 22 mo ago after he presented with a sensation of heaviness and swelling of the right hemiscrotum. The diagnosis of metastatic adenocarcinoma was made after a right-side orchiectomy. We report the first case of testicular metastasis from gastric adenocarcinoma in mainland China and summarize the clinicopathologic features of the disease based on previously published papers.
Core tip: Gastric cancer has been postulated to spread via several different routes, including through hematogenous channels, lymphatic vessels, the seeding of peritoneal surfaces, direct extension through the gastric wall, and retrograde extension through the vas deferens or lymphatics. This paper presents the clinicopathologic features of a case of testicular metastasis from gastric carcinoma in a 53-year-old man. This particular pattern of spread in gastric carcinoma is rare. We report the first such case in mainland China and summarize the clinicopathologic features of the disease based on the current literature .
