An unusual testicular mass in a young male: Metastasis from occult gastric carcinoma
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Date
2022-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
Metastases to the testis are uncommon. Signet-ring cell carcinomas from the gastrointestinal tract (GIT) can rarely disseminate to the testicles, mimicking primary testicular malignancies with signet-ring cells. We hereby describe a case of a 26-year-old male who presented with left testicular swelling, multiple lymphadenopathies, and normal serum tumor markers. Lymph node biopsy revealed clusters and singly lying signet-ring cells. Judicious use of immunohistochemistry confirmed the tumor to be GIT primary. Further investigations confirmed a gastric tumor extending to the duodenum. Although rare, metastatic tumors to the testis should be considered in differential diagnoses of testicular masses in a young patient, particularly when serum germ cell tumor markers are normal or mildly deranged.
Description
Keywords
Gastrointestinal tract, immunohistochemistry, metastasis, signet-ring cell carcinoma, testicular tumor
Citation
Nakra T, Sharma A, Sharma A, Kakkar A. . An unusual testicular mass in a young male: Metastasis from occult gastric carcinoma. Indian Journal of Pathology & Microbiology. 2022 Jun; 65(2): 440-443