Isolated testicular metastasis from prostatic adenocarcinoma

Ann Afr Med. 2019 Jul-Sep;18(3):173-175. doi: 10.4103/aam.aam_60_18.

Abstract

Metastatic carcinomas to the testes are rare with prostate adenocarcinoma being the most common. Reported cases of metastatic carcinoma to the testes are usually associated with metastasis to other sites. Metastasis to the testis alone without associated secondaries to other sites can occur and so far, few cases have been reported globally. Due to the rarity of such presentation and the need for proper evaluation of orchiectomy specimens for prostatic adenocarcinoma, we report a case of an 84-year-old with isolated metastasis to the left testes. This was discovered incidentally the following orchiectomy as a form of hormonal therapy for prostatic adenocarcinoma.

Résumé Metastatic carcinomas to the testes are rare with prostate adenocarcinoma being the most common. Reported cases of metastatic carcinoma to the testes are usually associated with metastasis to other sites. Metastasis to the testis alone without associated secondaries to other sites can occur and so far, few cases have been reported globally. Due to the rarity of such presentation and the need for proper evaluation of orchiectomy specimens for prostatic adenocarcinoma, we report a case of an 84-year-old with isolated metastasis to the left testes. This was discovered incidentally the following orchiectomy as a form of hormonal therapy for prostatic adenocarcinoma.

Keywords: Metastasis; prostatic adenocarcinoma; testes.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / secondary*
  • Aged, 80 and over
  • Humans
  • Incidental Findings
  • Male
  • Neoplasm Metastasis
  • Orchiectomy
  • Prostate-Specific Antigen / blood
  • Prostatic Neoplasms / pathology*
  • Testicular Neoplasms / pathology
  • Testicular Neoplasms / secondary*

Substances

  • Prostate-Specific Antigen