Epididymal metastases as the first sign of a colon cancer recurrence

Abstract

Metastastic tumours involving the epididymis are rare and most often found in patients with disseminated disease. It is even more unusual when the metastasis of the epididymis is the first sign of tumour recurrence. We report a case of an asymptomatic recurrent colon carcinoma presenting as metastasis in the epididymis. Although metastatic cancer presenting as an intra-scrotal mass is extremely rare, it should be considered as a possibility in patients who present with a mass involving the testicle or epididymis.

Epididymal Metastasis of Cholangiocarcinoma, an Extremely Rare Event: A Case Report and Review of the Literature

“…In our case, the tumor has been in the right epididymis. In one of the previous cases, the side of the metastasis has not been reported (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13).…”

“…In 2 patients, metastasis from prostate has been incidentally found by investigation of the source of high PSA (prostatic specific antigen) (7,13). In other patients the presenting symptoms have been scrotal mass, swelling, and tenderness (2,4,5,(7)(8)(9)11). Other more uncommon signs and symptoms have been urinary tract infection (6,9) and low back pain (1).…”

“…2019; 11(3):e91140. nodule, with arterial vascularization (5). In the majority of the cases there has been no definite diagnosis by radiology, so orchiectomy had been performed (13).…”

“…Both primary and metastatic cancers of the epididymis are rare (1). Epididymal metastatic carcinoma has been extremely rare and to the best of our knowledge only 13 cases have been reported (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). There has been just one reported case of cholangiocarcinoma metastatic to the epididymis and ours will be the second reported case.…”