Tunika Vajinalis Metastazı ile Prezante Olan Okkult Hepatoid Tip Mide Kanseri: Olgu Sunumu

Öz

Paratestiküler metastazlar oldukça nadirdir. Bu alana olan metastazlar çoğunlukla bilinen kanserin ileri evreleri şeklinde izlenmekle birlikte nadiren de olsa primer testiküler tümörü taklit edebilir. Bu makalede, alfa feto-protein üreten hepatoid tip mide kanserinin, skrotal ağrı ve şişliğin eşlik ettiği tunika vaginalis metastazı şeklinde prezante olması sunulmaktadır.

Anahtar Kelimeler

• alfa feto-protein,hepatoid tip mide kanseri,tunika vajinalis

Metastasis to The Tunica Vaginalis as an İnitial Manifestation of Occult Hepatoid Type Gastric Cancer: A Case Report

Öz

Paratesticular metastases are extremely rare. Metastases in this area usually appear in the advanced stages of a known malignancy, but are sometimes the first manifestation, mimicking a primary testicular tumor. In this article, we present a patient with metastasis to the right tunica vaginalis testis who had scrotal swelling and pain as the first manifestation of an alpha-fetoprotein (AFP)- producing hepatoid type gastric cancer.

Anahtar Kelimeler

• alpha-fetoprotein,hepatoid type gastric adenocarcinoma,tunica vaginalis

Kaynakça

1. 1. Plas E, Ried CR, Pflüger H. Malignant mesothelioma of the tunica vaginalis testis: review of the literature and assessment of prognostic parameters. Cancer 1998;83:2437–46.
2. 2. Lee J, Kang SC, Ban JH, Shin DS, Yeo JK, Yoon DH, et al. Metastatic Tumour of Tunica Vaginalis Testis with Hydrocele in a Patient with Gastric Cancer. Korean J Urol 2007;48:667–9.
3. 3. Yeo JK. Scrotal Hydrocele as the First Clinical Manifestation of Occult Gastric Cancer. Korean. J Urol 2009;50:1151–3.
4. 4. Kageyama Y, Kawakami S, Li G Kihara K, Oshima H, Teramoto K. Metastatic tumour of spermatic cord and tunica vaginalis testis from gastric cancer: a case report. Hinyokika Kiyo 1997;43:429–431.
5. 5. Yasuhide T, Heizo Y, Katsusuke N. Metastatic Tumour of the Tunica Vaginalis Testis Arising from Rectal Cancer: A Case Report. Nishinihon J Urol 1999;61:245–7.
6. 6. Ruiz JM, Sanchis CM, López PC, Navarro HP, Moreno MJ, Sánchez AS, et al. Metastasis to the tunica vaginalis testis from a primary mucinous tumour of the cecum. Arch Esp Urol 2010;63:235–8.
7. 7. Zheng J, Lu G, Xu C, Song B, Zhou Z. Metastatic Colon Adenocarcinoma to the Tunica Vaginalis Testis Presenting As Hydrocele. BJUI 2012.
8. 8. Garriga V, Serrano A, Marin A, Medrano S, Roson N, Pruna X. US of the tunica vaginalis testis: anatomic relationships and pathologic conditions. Radiograph 2009;29:2017–32.

9. 9. Woodward PJ, Schwab CM, Sesterhenn IA. Extratesticular scrotal masses: radiologic-pathologic correlation. Radiograph 2003;23:215–40.
10. 10. Srigley JR, Hartwick RW. Tumours and cysts of the paratesticular region. Pathol Ann 1990;25:51–108.
11. 11. Carp NZ, Petersen RO, Kusiak JF, Greenberg ML. Malignant mesothelioma of the tunica vaginalis testis. J Urol 1990;144:1475–8.
12. 12. Umekawa T, Kurita T. Treatment of mesothelioma of the tunica vaginalis testis. Urol Int 1995;55:215–7.
13. 13. Meacham RB, Mata JA, Espada R Wheeler TM, Schum CW, Scardino PT. Testicular metastasis as the first manifestation of colon carcinoma. J Urol 1988;116:621–2.
14. 14. Irisawa C, Yamaguchi O, Shiraiwa Y, Kikuchi Y, Irisawa S, Irisawa C. A case of metastatic tumour of the spermatic cord from gastric carcinoma. Hinyokika Kiyo 1989;35:1807–9.
15. 15. Polychronidis A, Tsolos C, Sivridis E, Botaitis S, Simopoulos C. Spermatic cord metastasis as an initial manifestation of sigmoid colon carcinoma: report of a case. Surg Today 2002;32(4):376–7.
16. 16. Lioe TF, Biggart JD. Tumours of the spermatic cord and paratesticular tissue. A clinicopathological study. Br J Urol 1993;71:600–6.
17. 17. Algaba F, Santaularia JM, Villavicencio H. Metastatic tumour of the epididymis and spermatic cord. Eur Urol 1983;9:56–9.
18. 18. Lee KY, Park SJ, Moon SK, Kim HC. Unilateral spermatic cord metastasis from gastric cancer: a case report. Iran J Radiol 2012;9(4):217–9.
19. 19. Ota T Shinohara M, Tanaka M, Itakura H, Munakata A, Kinoshita K, et al. Spermatic Cord Metastases from Gastric Cancer with Elevation of Serum hCG-β: A Case Report. Japanese J Clin Oncol 2000;30(5):239–40.
20. 20. Vlachostergios PJ, Voutsadakis IA, Barbanis S, Karasavvidou F, Papandreou CN. AFP-producing hepatoid adenocarcinoma of the stomach: a casereport. Cases J 2009;2:9296.
21. 21. Algaba F, Santaularia JM, Villavicencio H. Metastatic tumour of the epididymis and spermatic cord. Eur Urol 1983;9(1):56–9.