胃癌の精索転移の1例

Abstract

A 52-year-old man underwent distal gastrectomy for gastric cancer in November, 2007. In November, 2009, he visited our department with chief complaint of swelling of right intrascrotum andan inguinal mass. The tumor was suspected to be a primary tumor of the spermatic cord or metastasis of the gastric cancer. An operation was performed and histopathological examination revealedad enocarcinoma in the spermatic cord. Microscopic appearance of the surgical specimen of the right spermatic code demonstrated a CK7＋/ CK20− expression pattern, which is the same as that of past gastric cancer. These results suggested that the spermatic cord tumor was a metastatic lesion from the gastric cancer. The patient died 12 months later. Metastatic tumor of the spermatic cord resulting from gastric cancer is rare. We should take metastatic tumor into consideration the possibility of tumor of the spermatic code or tumor in the scrotum particularly when the patient has had an operation for cancer of the digestive system.