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COMMENTARY
Year : 2013  |  Volume : 5  |  Issue : 3  |  Page : 220  

Metastatic tumors to testis


Department of Urology, New York - Presbyterian Hospital, Weill Cornell Medical College, New York, USA

Date of Web Publication29-Jul-2013

Correspondence Address:
Ranjith Ramasamy
Department of Urology, 525 East 68th St., Starr 900, New York, NY 10065
USA
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PMID: 24049393

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How to cite this article:
Ramasamy R. Metastatic tumors to testis. Urol Ann 2013;5:220

How to cite this URL:
Ramasamy R. Metastatic tumors to testis. Urol Ann [serial online] 2013 [cited 2020 Sep 27];5:220. Available from: http://www.urologyannals.com/text.asp?2013/5/3/220/115739

Metastatic tumors to the testis are rare and should be considered in the differential diagnosis. Muscle-invasive transitional cell carcinoma or urothelial cancer of the bladder can be an aggressive disease. Metastatic sites to the lung, liver, and bone are common, but to the testis is unusual. Metastatic tumors to the testis are rare possibly due to the protection offered by the blood-testis barrier. Hematologic malignancies, such as lymphoma and leukemia, can metastasize to the testis; however, solid tumors metastasizing to the testis is infrequent. [1] The authors, in this study, have reported a rare case of asynchronous metastasis to bilateral testes from bladder. A palpable mass in the testis is managed with radical orchiectomy and therefore, there is minimal controversy in management of this condition. However, one should include metastasis in the differential diagnosis when there is either an established previous diagnosis of malignancy or symptoms of underlying cancer. Performing serial ultrasounds of the contralateral testis once the diagnosis is established is mandatory as was essential in this case although the patient had a poor prognosis.

 
   References Top

1.Ulbright TM, Young RH. Metastatic carcinoma to the testis: A clinicopathologic analysis of 26 nonincidental cases with emphasis on deceptive features. Am J Surg Pathol 2008;32:1683-93.  Back to cited text no. 1
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