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Case Reports
. 2011:2011:284121.
doi: 10.1155/2011/284121. Epub 2011 Apr 6.

A rare cause of scrotal swelling: transitional cell carcinoma of the bladder presenting as a testicular metastasis

W Mahmalji  1 , S Jain, M Stower
Affiliations
Case Reports

A rare cause of scrotal swelling: transitional cell carcinoma of the bladder presenting as a testicular metastasis

W Mahmalji et al. Adv Urol. 2011.

Abstract

A 72-year-old Caucasian male who presented with haematuria in July of 2000 was found to have a large left-sided bladder tumour. He underwent a transurethral resection of the tumour and surveillance program. In October 2008 he underwent a transurethral resection of the prostate (TURP). Histology of the prostatic chippings showed poorly differentiated TCC with prostatic invasion. A CT of his chest abdomen and pelvis revealed no lymph node involvement or metastatic spread. He therefore underwent a cystoprostato-urethrectomy with ileal conduit formation, in December 2008. In May 2010 the decision was made to perform a left inguinal orchidectomy as he presented with a craggy mass of his left testis, and there were clinical concerns that this was a tumour. Histology revealed that the left testis had been wholly replaced by a tumour. Taking into account his previous urological history, the features of this tumour are consistent with metastatic TCC, which is very rare.

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Figures

Figure 1
Figure 1
A scrotal USS revealed an enlarged testis with hypervascularity compatible with orchitis, May 2010.
Figure 2
Figure 2
Above: CT scan June 2010 revealing abdominal para-aortic lymphadenopathy. Below: unremarkable CT scan, November 2009.
See this image and copyright information in PMC

References

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    1. Doherty AP, Smith R, Paradinas FJ, Bower MD, Ramsay JWA. A case of metastatic transitional cell carcinoma in the testis histologically mimicking intratubular germ cell neoplasia. British Journal of Urology. 1996;78(1):137–138. - PubMed
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