Urology Annals

CASE RECORD
Year
: 2015  |  Volume : 7  |  Issue : 1  |  Page : 97--99

Primary apocrine adenocarcinoma of scrotum suspected as urothelial carcinoma metastasis: A clinical and pathological dilemma


Sean Huang1, Mark Frydenberg2, Alan Pham3, Jeremy P Grummet1 
1 Department of Urology, Bairnsdale Regional Health Service; Department of Urology, Alfred Health, Victoria, Australia
2 Department of Urology, Bairnsdale Regional Health Service; Department of Urology, Monash Health, Victoria, Australia
3 Department of Pathology, Alfred Health, Victoria, Australia

Correspondence Address:
Sean Huang
The Alfred, 55 Commercial Road, Melbourne 3004, Victoria
Australia

A 78-year-old man presented with an enlarging, tender mass in the scrotum separate to the testes. This was on the background of radical cystoprostatectomy, urethrectomy, and ileal conduit formation for high-grade urothelial carcinoma of the bladder invading submucosa 3 years prior. Examination revealed a 4 × 5 cm lesion, which was hard, fixed to the overlying skin and nodular to palpation. Ultrasound confirmed a solid mass in the scrotum extending into the perineum. Computerized tomography of the chest, abdomen, and pelvis revealed enlargement of inguinal lymph nodes but no other metastases. Complete resection of the scrotal lesion and selective removal of regional lymph nodes was performed. Rather than a cutaneous scrotal metastasis from the bladder urothelial carcinoma, histological examination suggested a primary apocrine adenocarcinoma of the scrotum. This case report explores the clinical and pathological features associated with both of these unusual differential diagnoses.


How to cite this article:
Huang S, Frydenberg M, Pham A, Grummet JP. Primary apocrine adenocarcinoma of scrotum suspected as urothelial carcinoma metastasis: A clinical and pathological dilemma.Urol Ann 2015;7:97-99


How to cite this URL:
Huang S, Frydenberg M, Pham A, Grummet JP. Primary apocrine adenocarcinoma of scrotum suspected as urothelial carcinoma metastasis: A clinical and pathological dilemma. Urol Ann [serial online] 2015 [cited 2020 Jul 13 ];7:97-99
Available from: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2015;volume=7;issue=1;spage=97;epage=99;aulast=Huang;type=0