Isolated Testicular Metastasis from Prostate Cancer

• Published in: The American journal of case reports Vol. 18; pp. 887 - 889
• Main Authors: Bonetta, Alberto, Generali, Daniele, Corona, Silvia Paola, Cancarini, Gianni, Brenna, Sarah Grazia, Pacifico, Chiara, Roviello, Giandomenico
• Format: Journal Article
• Language: English
• Published: United States International Scientific Literature, Inc 14-08-2017
• Subjects: Adenocarcinoma - pathology; Adenocarcinoma - secondary; Humans; Lymph Node Excision; Male; Middle Aged; Prostatectomy; Prostatic Neoplasms - pathology; Prostatic Neoplasms - surgery; Testicular Neoplasms - secondary
• ISSN: 1941-5923; 1941-5923
• DOI: 10.12659/AJCR.904521

BACKGROUND Prostatic adenocarcinoma is the most frequently diagnosed carcinoma in the male population; the most common sites of secondary lesions are nodes, bones, and lungs. We report the clinical case of a 58-year-old man presenting with a single metastasis in the left testis after a radical prostatectomy/lymphadenectomy for prostate cancer. CASE REPORT This clinical report focuses on a 58-year-old man with prostate cancer who developed an uncommon single metastasis in the left testis after radical surgery and adjuvant pelvic radiation therapy. CONCLUSIONS Prostate-specific antigen (PSA) levels are important in the follow-up of prostate cancer. At the same time, physical examination of all possible sites of metastasis and proper evaluation of all signs/symptoms are indispensable in the process of identifying recurrence and for the selection of patients undergoing adjuvant therapy.