胃癌精索転移の1例

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  • ショウレイ ホウコク イガンセイサクテンイ ノ 1レイ
  • A Case of Metastasis on the Spermatic Cord from Gastric Cancer

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A 53-year-old man was admitted to our hospital with left inguinal pain. A 2.0-cm, elastic, hard mass was identified in the left inguinal region. Computed tomography demonstrated a 1.9×1.6-cm left inguinal mass. Staging laparoscopy had been performed for advanced gastric cancer 4 months prior to admission. No abnormality was noted at that stage except for a scar from repair for a left inguinal hernia in infancy. Gastrectomy was performed 2 months after laparoscopy. Only a small nodule suspected as peritoneal dissemination was observed in the omentum around the transverse colon. Differential diagnosis of the left inguinal mass was recurrent inguinal hernia and tumor of the spermatic cord. Operative findings revealed 2 masses in the spermatic cord and under the transversalis fascia. Microscopically, the specimen revealed moderate to poorly differentiated adenocarcinoma invading around the spermatic cord. Venous infiltration was noted, suggesting the possibility of hematogenous spread. A definitive diagnosis of metastatic tumor from gastric cancer was made. The patient became debilitated and died 11 months after resection.

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