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14 August 2017 : Case report  Italy

Isolated Testicular Metastasis from Prostate Cancer

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Educational Purpose (only if useful for a systematic review or synthesis)

Alberto Bonetta1AB, Daniele Generali23ACDF, Silvia Paola Corona4ABF, Gianni Cancarini5A, Sarah Grazia Brenna1AD, Chiara Pacifico6BDF, Giandomenico Roviello27A*

DOI: 10.12659/AJCR.904521

Am J Case Rep 2017; 18:887-889

Abstract

BACKGROUND: Prostatic adenocarcinoma is the most frequently diagnosed carcinoma in the male population; the most common sites of secondary lesions are nodes, bones, and lungs. We report the clinical case of a 58-year-old man presenting with a single metastasis in the left testis after a radical prostatectomy/lymphadenectomy for prostate cancer.

CASE REPORT: This clinical report focuses on a 58-year-old man with prostate cancer who developed an uncommon single metastasis in the left testis after radical surgery and adjuvant pelvic radiation therapy.

CONCLUSIONS: Prostate-specific antigen (PSA) levels are important in the follow-up of prostate cancer. At the same time, physical examination of all possible sites of metastasis and proper evaluation of all signs/symptoms are indispensable in the process of identifying recurrence and for the selection of patients undergoing adjuvant therapy.

Keywords: Prostatic Neoplasms, Testis

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923