A case of primary intrascrotal mucinous cystoadenocarcinoma (author's transl)

Abstract

A case of primary intrascrotal mucinous cystoadenocarcinoma was experienced. The patient was a 57-year-old male who visited the hospital with the chief complaints of intrascrotal masses and dysuria. The mass in the left scrotum was enlarged to the size of an infant head and the one in the right scrotum to the size of an adult fist. The scrotal skin showed several fissures and fistules. The tumor was diagnosed histologically as mucinous cystoadenocarcinoma. For complete cure, the intrascrotal tumors, scrotal contents, perineal and femoral tumors, rectum and anus, and part of urethra were excised and artificial anus was provided. No evidence of histological changes were recognized in testes, testis capsules, epididymides and spermatic cords. The surgery was followed by the irradiation of betatrone 8800 rad. Two years and five months after the operation, the patient is still in good health without any sign of recurrence.Detailed discussion was attempted from the point of view of clinical symptoms, laboratory findings and histological findings with respect to the discrimination of mucinous cystoadenocarcinoma and Cowper's adenocarcinoma among mucinous adenocarcinomas primarily occurring in urogenital organ.This report is made since this patient is believed to be the first case of primary intrascrotal mucinous cystoadenocarcinoma in Japan.