DOI: 10.36347/sjmcr.2021.v09i02.010

Pages: 145-147

Metastatic carcinoma of the testis is rare and most often detected accidentally on pathological examination. The most common testicular metastases are secondary to prostate cancer (35%), lung (18%), melanoma (18%), kidney (9%) [1] while colorectal cancers represent less than 8% [2]. We report the clinical case of a 72-year-old patient, who presents abdominal pain with weight loss associated with a hydrocele that has progressed for 3 months with testicular discomfort. Exploration finds a sigmoid tumor with liver and bone metastases, scrotal ultrasound shows a vaginal nodule associated to hydrocele. An orchiectomy was performed with the anatomopathological result of two vaginal nodules responding to a very moderately differentiated, partially mucinous metastatic Lieberkuhnian adenocarcinoma. Through this clinical case and through a literature review, we analyze the epidemiological, diagnostic and therapeutic aspects of this rare pathology.