Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2021; 9(1): 278-283
Published online Jan 6, 2021. doi: 10.12998/wjcc.v9.i1.278
Krukenberg tumor with concomitant ipsilateral hydronephrosis and spermatic cord metastasis in a man: A case report
Shu-Han Tsao, Cheng-Keng Chuang
Shu-Han Tsao, Cheng-Keng Chuang, Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Taoyuan City 333, Taiwan
Author contributions: Tsao SH is the first author; Tsao SH wrote the case report and completed the literature review; Chuang CK performed the final editing and prepared the paper for approval by the authors; All authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient to publish this case report and the accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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/
Corresponding author: Cheng-Keng Chuang, MD, PhD, Chief Doctor, Professor, Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, No. 5 Fuxing Street, Guishan District, Taoyuan City 333, Taiwan. chuang89@cgmh.org.tw
Received: October 7, 2020
Peer-review started: October 7, 2020
First decision: October 27, 2020
Revised: November 3, 2020
Accepted: November 13, 2020
Article in press: November 13, 2020
Published online: January 6, 2021
Core Tip

Core Tip: Gastric cancer rarely metastasizes to the spermatic cord, but when it does, the prognosis is typically unfavorable. Ipsilateral hydronephrosis caused by retrograde lymphatic metastasis is a possible manifestation of distant metastasis of gastric cancer. Additionally, a preexisting inguinal mass and earlier detection of hydronephrosis could also contribute to a more favorable outcome.