Metastatic hernial sac tumor in a patient with FUO

Sobhani, Roohollah; Alsaeidi, Samira; Mahmoudabadi, Alireza

doi:10.1016/j.ijscr.2011.02.007

Cited by 4 publications

(5 citation statements)

References 16 publications

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“…The presence of tumors in hernia sacs is a very rare condition. 7 Few cases of tumors in the inguinal hernia sac secondary to dissemination through the ascites due to primary malignancies have been reported in the literature. Although rare, all of the presentations were either examined during hernia surgery, diagnosed histopathologically after hernia surgery, or diagnosed in scintigraphic studies.…”

Section: Discussionmentioning

confidence: 99%

Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report

Çil,

Üntan

2024

Arch Iran Med

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Macroscopic tumor implants in the hernia sac are a very rare condition. They occur as a result of the implantation of malignant cells in the malignant ascites from the inguinal canal to the hernia sac. In this case report, we share the clinical and radiological findings of the macroscopic tumoral implants in the hernia sac at the level of the inguinal canal and scrotum in a male patient aged 65 years with a history of total gastrectomy for gastric adenocarcinoma and developing malignant ascites six months after the surgery.

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Section: Discussionmentioning

confidence: 99%

Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report

Çil,

Üntan

2024

Arch Iran Med

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“…A malignancy can be classified as a saccular tumor (e.g. mesothelioma), metastatic sickness impacting the hernial sac, or an intrasaccular tumor, which refers to an organ within the hernial sac that contains a primary malignancy 8 .…”

Section: Discussionmentioning

confidence: 99%

Sigmoid colon cancer presenting as a left inguinal hernia: a case report

Al Mohtasib,

Emar,

Al-jabari

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: Inguinal hernias are common and typically include a portion of abdominal organs. However, there have been reports of additional peculiar content. Case presentation: The authors present the case of a 68-year-old man with sigmoid colon cancer presenting as a left inguinal hernia. Discussion: Colorectal cancer is a unique component that can be identified within inguinal hernias and is a prevalent problem among affected individuals because such a presentation is unusual. Conclusion: Surgeons should be aware of this risk when operating on inguinal hernias in order to prevent ineffective care. The best course of action may be appropriate exploration and oncological excision when underlying colon cancer is suspected after a hernial procedure.

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“…7,9,10 Metastatic pancreatobiliary adenocarcinomas or serous carcinoma were rarely described in clinical literature. 8,11,[15][16][17] In our study cohort, metastatic carcinoma from pancreatobiliary and gynecological tracts each composed of a quarter of tumors identified in hernia sac respectively. While female patients were more likely to have gynecological primary, particularly serous carcinoma of ovary, male patients were more likely to have gastrointestinal or pancreatobiliary malignancies involving the hernia sac.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10] Metastases originated from cancers of the ovary, prostate, pancreas, appendix, peritoneum and stomach have also been reported. 7,[11][12][13][14] To date, most cases of malignant tumors in hernia sac were either single case reports or small case series, lacking comprehensive clinicopathological and immunohistochemical characterizations, particularly for those with unknown primary. In this study, we analyzed 21 cases of malignant tumors identified in surgically resected hernia sac specimens at our institution within the past 15 years (2005-2019).…”

Section: Introductionmentioning

confidence: 99%

Malignant tumors in hernia sac: Clinicopathological and immunohistochemical studies of 21 cases at a single institution

Zhang

Yang

Katerji

et al. 2020

Pathology International

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Malignant tumors presented in hernia sac are very rare and the clinicopathological features are not well studied. We retrospectively reviewed 21 patients with cancers identified in surgically resected hernia sac specimens at our institution, including 14 males and 7 females, with a median age of 65 years (range 35–93). Fourteen patients (66.7%) carried a synchronous or metachronous cancer diagnosis elsewhere and the tumors in hernia sac were proven to be metastasis. Of the remaining seven (33.3%) cases, hernia sac tumors were the initial presentation of malignancy, and a panel of immunohistochemistry markers were applied in combination with clinical information to identify tumor origin. The final classification of all 21 cases was as follows: 11 gastrointestinal tract tumors including 10 adenocarcinomas and 1 gastrointestinal stromal tumor, 5 pancreatobiliary adenocarcinomas and 5 gynecological serous carcinomas. Compared to other tumor types, pancreatobiliary adenocarcinomas were more likely to involve hernia sac as initial presentation before a primary site was identified (P = 0.0307) and had worse survival (P < 0.005). As the first and largest cohort of malignant tumors in hernia sac, our study provides critical data on frequency, distribution, clinicopathological features and applicability of immunohistochemical markers to determine tumor origin in cases with unknown primary.

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Metastatic hernial sac tumor in a patient with FUO

Cited by 4 publications

References 16 publications

Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report

Metastatic Gastric Adenocarcinoma in the Inguinal Hernia Sac Diagnosed Radiologically: A Case Report

Sigmoid colon cancer presenting as a left inguinal hernia: a case report

Malignant tumors in hernia sac: Clinicopathological and immunohistochemical studies of 21 cases at a single institution

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