A Rare Site of Metachronous Metastases from Renal Cell Carcinoma

Anand Raja

Department of Surgical Oncology, Cancer Institute (WIA), Chennai, India


Madhuri.N

Department of Surgical Oncology, Cancer Institute (WIA), Chennai, India


kanachan.V.Murhekar

Department of Surgical Oncology, Cancer Institute (WIA), Chennai, India


Shirley.sundersingh

Department of Surgical Oncology, Cancer Institute (WIA), Chennai, India


Keywords

renal cell carcinoma, testis, metastasis, nephrectomy, orchidectomy

Abstract

Secondary metastatic involvement of the testis is a rare occurrence, particularly in cases of metastasis from renal cell carcinoma (RCC). We present a case of metachronous contralateral testicular metastasis from RCC in a 55-year-old man, occurring 2 years after radical nephrectomy. Following a thorough evaluation that ruled out systemic disease, the patient underwent a Chevassu procedure and right inguinal orchidectomy. Histopathological analysis confirmed metastatic involvement of the right testis by RCC. Metastasis to the testis from RCC is uncommon, with only a few cases reported in the literature. Isolated metachronous metastasis without systemic involvement is even rarer. This case highlights the importance of considering testicular metastasis in patients with a history of RCC, emphasizing the need for comprehensive evaluation and surgi-cal resection when feasible, as it has been associated with prolonged survival.

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