Testicular Metastasis from Renal Cell Carcinoma: A Systematic Review

Anna Pliszka1, Sebastian Rajda1, Agata Wawrzyniak2

  • 1Department of Normal and Clinical Anatomy, Institute of Medical Sciences, Medical College of Rzeszow University, 35-315 Rzeszow, Poland.

PubMed

Insights

Testicular metastasis is a rare but significant sign of advanced renal cell carcinoma (RCC). Early recognition of this late-stage indicator is crucial for timely diagnosis and treatment of metastatic RCC.

Area of Science:

  • Oncology
  • Urology
  • Medical Research

Background:

  • Renal cell carcinoma (RCC) frequently presents as metastatic disease.
  • Testicular metastasis is an uncommon manifestation of advanced RCC.

Purpose of the Study:

  • To systematically review the literature on the occurrence and treatment of testicular metastasis in renal cell carcinoma patients.
  • To enhance clinical awareness of this rare metastatic pattern.

Main Methods:

  • A comprehensive literature search was conducted across major electronic medical databases (PubMed, Web of Science, Science Direct) until March 2023.
  • Inclusion criteria focused on case reports providing sufficient information on testicular RCC metastasis.
  • Data extraction was performed independently by two authors.

Main Results:

  • Out of 51 identified case reports, 31 met the inclusion criteria.
  • Testicular metastasis in RCC typically indicates a late stage of the disease.
  • Symptoms are often non-specific, primarily testicular swelling and enlargement.

Conclusions:

  • Testicular metastasis is a late-stage indicator for renal cell carcinoma.
  • Awareness of this presentation aids in prompt diagnosis and treatment initiation.
  • Timely management is critical for improving outcomes in advanced neoplastic disease.