위암 환자에서 발생한 음낭수종을 동반하는 전이성 고환초막 종양
Metastatic Tumor of Tunica Vaginalis Testis with Hydrocele in a Patient with Gastric Cancer
이종, 강승철, 반정현, 신동식, 여정균, 윤동희, 문두건, 윤덕기,
소속 상세정보
이종 ( Lee Jong )
고려대학교 의과대학 비뇨기과학교실
강승철 ( Kang Seung-Chul )
고려대학교 의과대학 비뇨기과학교실
반정현 ( Ban Jung-Hyun )
고려대학교 의과대학 비뇨기과학교실
신동식 ( Shin Dong-Shik )
고려대학교 의과대학 비뇨기과학교실
여정균 ( Yeo Jeong-Kyun )
고려대학교 의과대학 비뇨기과학교실
윤동희 ( Yoon Dong-Hee )
고려대학교 의과대학 비뇨기과학교실
문두건 ( Moon Du-Geon )
고려대학교 의과대학 비뇨기과학교실
윤덕기 ( Yoon Duck-Ki )
고려대학교 의과대학 비뇨기과학교실
KMID : 0358320070480060667
Abstract
Metastatic tumors of the tunica vaginalis testis from gastric cancer are extremely rare. We report here on a case of a 48-year-old man who had undergone total gastrectomy due to advanced gastric cancer 23 months previously, and he presented with right painless scrotal swelling. A hard mass was palpated along the right spermatic cord and there was an associated hydrocele around the mass. Ultrasonography showed homegenous hypoechoic lesions in the spermatic cord and anechoic lesion superior to the right testis, which was suggestive of hydrocele of the testis. Exploration was performed via inguinal incision. Multiple hemorrhagic small nodules were noted on the surface of the tunica vaginalis. Also, a tumor in the spermatic cord was present beyond the inner inguinal ring. On microscopic examination, adenocarcinoma cell nests, which were consistent with primary gastric cancer, were found in the tunica vaginalis testis, spermatic cord and peritesticular soft tissue, but not within the parenchyme of the testis or epididymis. (Korean J Urol 2007;48:667-669)
키워드
Spermatic cord;Scrotal hydrocele;Metastasis;Gastric cancer
원문 및 링크아웃 정보
등재저널 정보