An Advanced Ascending Colon Carcinoma with Testicular Metastasis: A Case Report

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  • 同時性精巣転移をきたした上行結腸癌の１例

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Abstract

<p>A 71-year-old man presented to our hospital complaining of nausea. Abdominal CT revealed a thickened wall of the ascending colon and enlarged left testis with anemia. However, the patient rejected any further study. Seven months thereafter, the patient was referred to our hospital with left groin pain and swelling. Based on the CT findings and a physical examination, the patient was diagnosed as having an incarcerated groin hernia and underwent an emergency operation. However, based on the intraoperative findings a diagnosis of a left testicular tumor was made. After orchiectomy, immunopathological examination revealed metastatic adenocarcinoma from an ascending colon carcinoma. This case serves as an important reminder to consider metastatic testicular carcinoma in the investigation of all possible causes of testicular tumors.</p>

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