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Updated: Apr 30, 2026
Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Late-onset metastatic adenocarcinoma of the spermatic cord from primary gastric cancer
Jae Heon Kim, Doo Sang Kim1, Hyun Deuk Cho
1Department of Urology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 23-20, Bongmyeongdong, Cheonan, Chungnam 330-721, Korea. urokds@schmc.ac.kr.
Background:
Metastatic cancers of the paratesticular tissue are very rare; however, the most frequent primary site of spermatic cord metastasis is the gastrointestinal tract.
Case Presentation:
We recently observed two cases of late-onset metastatic adenocarcinoma of the spermatic cord. Both patients complained of groin discomfort with a palpable mass in the scrotum and inguinal area. Radical orchiectomy and adjuvant chemotherapy were performed in both patients. Although the prognosis of patients with metastatic adenocarcinoma of the spermatic cord is typically poor, the prognosis of our patients was favorable after follow-up for 14 to 18 months.
Conclusions:
In patients with groin discomfort or swelling and a history of gastric cancer, metastatic adenocarcinoma should be included in the differential diagnosis for early detection of tumors.
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