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Case Reports
. 2015 May 15:15:77-9.
doi: 10.1016/j.rmcr.2015.05.002. eCollection 2015.

Scrotal wall metastasis from a primary lung adenocarcinoma

Marie-Louise M Coussa-Koniski  1 , Pia A Maalouf  2 , Nehme E Raad  1 , Noha A Bejjani  1
Affiliations
Case Reports

Scrotal wall metastasis from a primary lung adenocarcinoma

Marie-Louise M Coussa-Koniski et al. Respir Med Case Rep. .

Abstract

This a case of a 77 years old male heavy smoker, known to have Combined Pulmonary Fibrosis and Emphysema complicated by a primary invasive adenocarcinoma of the lung with bone metastasis, who presented with a two weeks history of right inguino-scrotal pain and swelling. Imaging studies revealed a right paratesticular formation that appeared to involve the epididymis and the scrotal wall. A biopsy of the mass showed morphological and Immunophenotypic features in favor of metastasis of an adenocarcinoma of the lung. Based on our literature review, there are only few published cases about scrotal wall metastasis of a lung primary.

Keywords: Lung adenocarcinoma; Scrotal metastasis.

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Figures

Fig. 1
Fig. 1
Scrotal ultrasound (A, B). Inguino-scrotal MRI (C, D, E, F).
Fig. 2
Fig. 2
Immunohistology of the paratesticular mass biopsy showing atypical cells staining positive for TTF1 (A, B), H&E (C) and CK7 (D).
See this image and copyright information in PMC

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