Abstract
Metastatic small bowel tumors in the testes are uncommon often indicating an advanced stage of sickness with poor prognosis. The route of spread to the scrotal level has not yet been defined. The most of these tumors are diagnosed at autopsy or orchiectomy for metastatic carcinoma. The diagnosis is mainly based on histological and immunohistochemical data. In this paper, we report the case of a 36-year-old patient with a spermatic torsion secondary to a testis metastasis from an adenocarcinoma of the small intestine confirmed histologically, occurring as first clinical manifestation that was taken care in the medical oncology department of CHU Hassan II in Fes. The aim of the subject is to highlight this rare metastatic localization of gastrointestinal cancer; how to approach the diagnosis and distinguish between primary testicular cancer and testicular metastasis; by describing the different clinical, radiological and anatomopathological aspects of metastatic gastrointestinal cancer to the testis.
Highlights
Cancers of the hail intestine remain rare and represent less than 5% of digestive cancers [1], the small intestine represents 75% of the length of the digestive tract and 90% of its mucous surface
We report the case of a 36-year-old patient with a spermatic torsion secondary to a testis metastasis from an adenocarcinoma of the small intestine confirmed histologically, occurring as first clinical manifestation that was taken care in the medical oncology department of CHU Hassan II in Fès
The prognosis depends on the stage but it remains unfavorable. We report this case to highlight the rarity of this secondary localization of small bowel carcinoma, the clinico-radiological and pathological characteristics, in particular the misleading presentation mimicking a primary neoplasm of the testis, the management of the treatment and the prognosis
Summary
Cancers of the hail intestine remain rare and represent less than 5% of digestive cancers [1], the small intestine represents 75% of the length of the digestive tract and 90% of its mucous surface The incidence of these tumors has been increasing in recent decades; the diagnosis is often made at an advanced. Testicular metastases from a primary digestive system are uncommon; very few cases have been reported; Metastatic testicular tumors accounting for approximately 2% of all testicular neoplasms [2] The fact that it is progressive and clinically indicative of gastrointestinal cancer is an unusual circumstance. The prognosis depends on the stage but it remains unfavorable We report this case to highlight the rarity of this secondary localization of small bowel carcinoma, the clinico-radiological and pathological characteristics, in particular the misleading presentation mimicking a primary neoplasm of the testis, the management of the treatment and the prognosis
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