metastases to testis
Metastases to
testis • Renal cell carcinoma metastasis to the testis - Ganzer Fall bei Radiopaedia
Metastases to
testis • Renal cell carcinoma metastasis to the testis - Ganzer Fall bei Radiopaedia
Testicular
metastasis as the first clinical manifestation of pancreatic adenocarcinoma: a case report. Scrotal ultrasound. Structural changes of the entire right testis
Metastases to testis are a very rare cause of a testicular mass and may be bilateral in up to 15% of patients.
Epidemiology
Metastases to the testes are apparent in ~0.04% of autopsy studies in patients with known malignancy. The average age is 57 years, much older than the primary age for primary testicular cancer .
Pathology
The literature suggests that the rarity of metastases to the testes may be due to:
- lower temperature of the scrotum, so the malignant cells find it more difficult to proliferate
- testes are a 'sanctuary' site - due to the blood-testicular barrier
Etiology
In adults a malignant testicular lesion is much more likely to be a primary. Even so-called common sources are rare. The largest series of 20 cases of metastases to the testes, over a ten-year period, found the majority to be from leukemia .
Common
- leukaemia (most common)
- lymphoma
- prostate (most common solid tumor origin)
- lung
- colorectal cancer
- renal cell carcinoma
- malignant melanoma
Very rare
- thyroid cancer
- esophageal adenocarcinoma
- pancreatic adenocarcinoma
- gastric carcinoma
- upper tract urothelial carcinoma
- hepatocellular carcinoma
- bladder cancer
In children, sources include:
See also
Siehe auch:
- Neuroblastom
- Nierenzellkarzinom
- Rhabdomyosarkom
- prostate
- Schilddrüsenkarzinom
- Kolorektales Karzinom
- Hodentumoren
- Malignes Melanom
- unilateral testicular lesions
- Harnblasenkarzinom
- Nephroblastom
- paratestikuläre Läsionen
- Teratom des Hodens
- Seminom des Hodens
- Lunge
- maligne Neoplasien des Hodens
und weiter:
Assoziationen und Differentialdiagnosen zu Metastasen im Hoden:
