“…Prior to the diagnosis of PEA, metastatic adenocarcinomas should be considered, containing those originating from kidney [ 7 ], gastrointestine [ 19 , 20 ], pancreas [ 21 ], bile duct [ 22 ], and prostate [ 23 ], especially in patients having a history of malignant neoplasms. Pindoria et al reported that a patient, having a history of multiple renal carcinomas and VHLD, suffered from primary papillary cystadenocarcinoma of the epididymis with testicular metastasis [ 7 ].…”