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Case Report: A testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer
Secondary neoplasms of the testes from solid tumors are rare and usually present as a painless mass. Metastatic cecum signet-ring cell cancer of the testis is extremely rare. The orchioncus usually shows hypervascularity on color Doppler ultrasound. The present study reports an unusual case of testi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10515214/ https://www.ncbi.nlm.nih.gov/pubmed/37746291 http://dx.doi.org/10.3389/fonc.2023.1189552 |
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author | Yu, Bo Meng, Mi Qin, Rui Xu, Qiang Zhang, Neng Fu, Ni |
author_facet | Yu, Bo Meng, Mi Qin, Rui Xu, Qiang Zhang, Neng Fu, Ni |
author_sort | Yu, Bo |
collection | PubMed |
description | Secondary neoplasms of the testes from solid tumors are rare and usually present as a painless mass. Metastatic cecum signet-ring cell cancer of the testis is extremely rare. The orchioncus usually shows hypervascularity on color Doppler ultrasound. The present study reports an unusual case of testicular secondary signet-ring cell carcinoma mimicking missed testicular torsion in a 55-year-old male patient with right scrotal swelling and intermittent pain for 10 days. As color Doppler ultrasound showed an avascular distribution of the enlarged right testis, missed testicular torsion was initially diagnosed. Right-sided orchiectomy was performed, and pathology of the resected testis revealed an intestinal-type adenocarcinoma with mucinous and signet-ring cell features. This pathological feature led to further endoscopic colorectal biopsy of the digestive tract, which revealed poorly differentiated adenocarcinoma of the cecum with signet ring cell features similar to those of testicular specimens. In conclusion, differential diagnosis should be considered for rare testicular neoplasms, as was seen in this rare occurrence of testicular torsion in a patient who initially presented with metastatic colorectal cancer. A correct preoperative diagnosis can change the management and outcome. This report shares our reasons for misdiagnosis and opinions on diagnosing and treating this kind of case. |
format | Online Article Text |
id | pubmed-10515214 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105152142023-09-23 Case Report: A testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer Yu, Bo Meng, Mi Qin, Rui Xu, Qiang Zhang, Neng Fu, Ni Front Oncol Oncology Secondary neoplasms of the testes from solid tumors are rare and usually present as a painless mass. Metastatic cecum signet-ring cell cancer of the testis is extremely rare. The orchioncus usually shows hypervascularity on color Doppler ultrasound. The present study reports an unusual case of testicular secondary signet-ring cell carcinoma mimicking missed testicular torsion in a 55-year-old male patient with right scrotal swelling and intermittent pain for 10 days. As color Doppler ultrasound showed an avascular distribution of the enlarged right testis, missed testicular torsion was initially diagnosed. Right-sided orchiectomy was performed, and pathology of the resected testis revealed an intestinal-type adenocarcinoma with mucinous and signet-ring cell features. This pathological feature led to further endoscopic colorectal biopsy of the digestive tract, which revealed poorly differentiated adenocarcinoma of the cecum with signet ring cell features similar to those of testicular specimens. In conclusion, differential diagnosis should be considered for rare testicular neoplasms, as was seen in this rare occurrence of testicular torsion in a patient who initially presented with metastatic colorectal cancer. A correct preoperative diagnosis can change the management and outcome. This report shares our reasons for misdiagnosis and opinions on diagnosing and treating this kind of case. Frontiers Media S.A. 2023-09-08 /pmc/articles/PMC10515214/ /pubmed/37746291 http://dx.doi.org/10.3389/fonc.2023.1189552 Text en Copyright © 2023 Yu, Meng, Qin, Xu, Zhang and Fu https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Oncology Yu, Bo Meng, Mi Qin, Rui Xu, Qiang Zhang, Neng Fu, Ni Case Report: A testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer |
title | Case Report: A testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer |
title_full | Case Report: A testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer |
title_fullStr | Case Report: A testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer |
title_full_unstemmed | Case Report: A testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer |
title_short | Case Report: A testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer |
title_sort | case report: a testicular torsion as an initial presentation of a patient with metastatic cecum signet-ring cell cancer |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10515214/ https://www.ncbi.nlm.nih.gov/pubmed/37746291 http://dx.doi.org/10.3389/fonc.2023.1189552 |
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