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Journal of Nippon Medical School =... 2013We report a case of advanced stomach cancer metastatic to the spermatic cord 1 year after curative distal gastrectomy. The patient underwent distal gastrectomy with D2...
We report a case of advanced stomach cancer metastatic to the spermatic cord 1 year after curative distal gastrectomy. The patient underwent distal gastrectomy with D2 lymph node dissection. There was no metastasis to the liver or peritoneum, and cytologic examination of the peritoneal lavage fluid was negative for cancer cells (CY0). Histological examination revealed a moderately differentiated tubular adenocarcinoma that had penetrated the serosa (T4a). Postoperative staging was T4aN1M0, stage IIIA, according to the Japanese gastric carcinoma classification scale. One year after the operation, the patient was readmitted with right groin pain. Percutaneous fine needle aspiration biopsy of the inguinal tumor revealed a tubular adenocarcinoma. Extirpation of the inguinal tumor with wedge resection of the right iliac-femoral vein was performed. Pathological examination revealed a moderately differentiated tubular adenocarcinoma that had diffusely infiltrated the connective tissue surrounding the spermatic cord. Immunohistochemical studies showed the tumor cells were reactive for CK7 but not for CK20. These findings were consistent with the diagnosis of a spermatic cord tumor metastatic from a known gastric primary cancer. Laparoscopic exploration showed invagination of the peritoneum with small nodules from the median umbilical fold to the lateral umbilical fold and a markedly decreased distance between the folds. Pathological examination in this area revealed a tubular structure consisting of mesothelial cells within the cancer tissue which was associated with dense fibrosis, suggesting that the invagination of the peritoneum had been caused by minimal peritoneal metastasis.
Topics: Adenocarcinoma; Aged; Biomarkers, Tumor; Biopsy, Fine-Needle; Gastrectomy; Gastroscopy; Genital Neoplasms, Male; Humans; Immunohistochemistry; Lymph Node Excision; Lymphatic Metastasis; Male; Neoplasm Staging; Positron-Emission Tomography; Reoperation; Spermatic Cord; Stomach Neoplasms; Time Factors; Treatment Outcome
PubMed: 23995576
DOI: 10.1272/jnms.80.318 -
Radiology Dec 1990In five newborn patients with spermatic cord torsion, sonography demonstrated an enlarged and globular testis, hydrocele, and skin thickening. In four of these patients...
In five newborn patients with spermatic cord torsion, sonography demonstrated an enlarged and globular testis, hydrocele, and skin thickening. In four of these patients the testicular parenchyma was heterogeneous. Peripheral hypoechoic areas were seen in two of the four patients; the other two had a central hypoechoic region and a peripheral echogenic rim. The testis in the fifth patient was diffusely hyperechoic. Duplex Doppler sonography performed in two patients failed to demonstrate any signal in the spermatic cord in either the abnormal or contralateral hemiscrotum. Scintigraphic findings were positive for testicular torsion in two patients and equivocal in three patients. Surgery was performed 2-12 days after sonography and established the diagnosis of spermatic cord torsion. Pathologic examination demonstrated hemorrhagic infarction of the entire testis as well as scattered calcifications. The authors conclude that a solid globular testicular mass seen during the neonatal period is suggestive of intrauterine spermatic cord torsion.
Topics: Humans; Infant, Newborn; Male; Spermatic Cord; Spermatic Cord Torsion; Testis; Ultrasonics; Ultrasonography
PubMed: 2243983
DOI: 10.1148/radiology.177.3.2243983 -
Urologia Aug 2020
Topics: Humans; Inguinal Canal; Male; Orchiectomy; Spermatic Cord; Varicocele
PubMed: 31354062
DOI: 10.1177/0391560319863621 -
The Journal of Sexual Medicine Mar 2008
Topics: Autonomic Denervation; Humans; Male; Microsurgery; Pain; Spermatic Cord; Testicular Diseases; Testis
PubMed: 18304282
DOI: 10.1111/j.1743-6109.2007.00762.x -
Langenbecks Archiv Fur Chirurgie 1992
Topics: Hernia, Inguinal; Humans; Male; Postoperative Complications; Recurrence; Reoperation; Spermatic Cord; Suture Techniques
PubMed: 1479854
DOI: 10.1007/BF00574767 -
Urologia Internationalis 2019Microsurgical denervation of the spermatic cord (MDSC) is a treatment option for chronic orchialgia (CO) refractory to conservative treatment. Studies showed specific...
OBJECTIVES
Microsurgical denervation of the spermatic cord (MDSC) is a treatment option for chronic orchialgia (CO) refractory to conservative treatment. Studies showed specific nerve fibers as the possible cause of CO. We aimed to present the outcomes of ligation of these nerves using targeted MDSC.
METHODS
We retrospectively reviewed 30 cases who underwent targeted MDSC from August 2014 to February 2018. Patients included were under strict criteria. Pain was assessed preoperatively and postoperatively using a subjective visual analog scale (VAS) and objectively with the standardized and validated Pain Impact Questionnaire-6 (PIQ-6) score.
RESULTS
Data were available on 28 cases at repercussion. During a median follow-up of 12 months (range 10-29), 25 cases (89.2%) showed a significant reduction in pain and 3 (9.8%) had no change in pain by subjective VAS scoring. Of cases with a significant reduction in pain, 15 (53.5%) had complete resolution and 19 (67.9%) had a 50% or greater reduction. Objective PIQ-6 analysis showed a significant reduction in pain in 78.6% of patients at 6 months postoperatively, in 82.1% at 1 year, in 82.1% at 2 years.
CONCLUSIONS
Targeted MDSC is an effective, minimally invasive approach with potential long-term durability in patients with refractory CO.
Topics: Adult; Aged; Aged, 80 and over; Denervation; Follow-Up Studies; Humans; Male; Microsurgery; Middle Aged; Pain; Pain Management; Pain Measurement; Pain, Postoperative; Retrospective Studies; Spermatic Cord; Testicular Diseases; Testis; Treatment Outcome; Visual Analog Scale
PubMed: 30897576
DOI: 10.1159/000497281 -
World Journal of Urology 1996Two cases of spermatic cord leiomyosarcoma are described. Preoperative ultrasound disclosed a paratesticular tumor. Inguinal orchiectomy was performed; there was no... (Review)
Review
Two cases of spermatic cord leiomyosarcoma are described. Preoperative ultrasound disclosed a paratesticular tumor. Inguinal orchiectomy was performed; there was no adjuvant treatment. Currently there is no evidence of disease after 12 and 24 months of follow-up. The literature on this rare condition is reviewed.
Topics: Aged; Follow-Up Studies; Humans; Leiomyosarcoma; Male; Orchiectomy; Spermatic Cord; Ultrasonography
PubMed: 8646243
DOI: 10.1007/BF01836346 -
Urology Feb 1978Four patients with myxoid liposarcoma of the spermatic cord are presented, three of whom have survived longer than five years. Wide local excision is usually the...
Four patients with myxoid liposarcoma of the spermatic cord are presented, three of whom have survived longer than five years. Wide local excision is usually the treatment of choice with radiotherapy reserved for control of either extensive local disease or following incomplete removal of the lesion.
Topics: Aged; Genital Neoplasms, Male; Humans; Liposarcoma; Male; Middle Aged; Spermatic Cord
PubMed: 629001
DOI: 10.1016/0090-4295(78)90108-5 -
The American Journal of Surgical... Oct 2017The staging of testicular nonseminomatous germ cell tumors (NSGCTs) with lymphovascular invasion (LVI) of the spermatic cord in the absence of cord parenchymal... (Comparative Study)
Comparative Study
The staging of testicular nonseminomatous germ cell tumors (NSGCTs) with lymphovascular invasion (LVI) of the spermatic cord in the absence of cord parenchymal involvement remains controversial. Our previous study showed that tumors with spermatic cord LVI present at a higher clinical stage than tumors with LVI confined to the testis (pT2). We compared NSGCTs with LVI of the spermatic cord without direct involvement of the spermatic cord soft tissues to pT3 tumors to help clarify the appropriate staging of this histologic finding. A retrospective, multi-institutional review was performed to identify cases of NSGCTs with LVI in the spermatic cord without soft tissue invasion of the cord. The clinical-pathologic findings were compared with NSGCTs with spermatic cord soft tissue invasion (pT3). We identified 38 pT2 NSGCTs with LVI in the spermatic cord without soft tissue invasion of the cord and 89 pT3 tumors. There were no significant differences in patient age, tumor size, or clinical stage at presentation between the 2 groups. There were no significant differences in dominant histologic subtype, rete testis invasion, hilar soft tissue invasion, or margin status. There were no significant differences in disease recurrence/progression (P=0.63), recurrence/progression after chemotherapy (P=0.35), or death (P=0.51) between patients with only spermatic cord LVI versus patients with cord soft tissue invasion. In patients with pT2 NSGCTs according to the current staging, LVI in the spermatic cord without cord soft tissue invasion is comparable with pT3 tumors in terms of clinical stage at presentation as well as disease recurrence and survival.
Topics: Adolescent; Adult; Humans; Lymphatic Metastasis; Male; Middle Aged; Neoplasm Invasiveness; Neoplasm Staging; Neoplasms, Germ Cell and Embryonal; Retrospective Studies; Spermatic Cord; Testicular Neoplasms; Vascular Neoplasms; Young Adult
PubMed: 28719463
DOI: 10.1097/PAS.0000000000000917 -
Hinyokika Kiyo. Acta Urologica Japonica Mar 2012A 67-year-old man had pain and swelling in the bilateral inguinal region. His past medical history included non-alcoholic steatohepatitis and liver cirrhosis. A clinical... (Review)
Review
A 67-year-old man had pain and swelling in the bilateral inguinal region. His past medical history included non-alcoholic steatohepatitis and liver cirrhosis. A clinical examination revealed a solid mass that was palpable along with the bilateral spermatic cord from the external inguinal ring to the root of the scrotum. Other than a hydrocele in the right testis, the epididymis and testes were intact. Abdominal computed tomography showed ascites and a solid tumor of the bilateral spermatic cord. Magnetic resonance imaging findings did not suggest malignancy, while antibiotics showed no effects. The patient wanted relief from the inguinal pain and a bilateral high orchiectomy was performed, during which time the spermatic cord was found firmly adhered to the surrounding tissue, and could not be completely resected. A histopathological examination showed epithelial mesothelioma. For additional examination of the ascites, the patient underwent paracentesis, which revealed an extremely high level of hyaluronic acid. Our working diagnosis was peritoneal malignant mesothelioma that had infiltrated the bilateral spermatic cord. We began systemic chemotherapy treatment with pemetrexed and cisplatin, but, the patient died 3 months after the operation.
Topics: Aged; Humans; Male; Mesothelioma; Neoplasm Invasiveness; Peritoneal Neoplasms; Spermatic Cord
PubMed: 22495049
DOI: No ID Found