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Turkish Journal of Cancer
2001, Volume 31, Number 1, Page(s) 35-38
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Prostatic cancer with metastasis to the testis
CEM AKBAL1, ERİM ERDEM1, HOSAM HAMADA2, M CEMİL UYGUR3, HALUK ÖZEN 1
Hacettepe University School of Medicine, 1Departments of Urology and 2Pathology, 3Department of Urology, Ankara Hospital, Ankara- TURKEY

Metastatic cancer to the testis is a rare phenomenon of prostate carcinoma with only 80 cases reported in the literature. Most of these secondary testicular tumors were diagnosed on routine pathohistological examination of testicular tissue after orchiectomy. The metastatic lesion was not identified on physical examination or in macroscopic dissection of the testis after surgery. Microscopy revealed an adenocarcinoma with a positive immunohistochemical stain for prostate specific antigen (PSA), and it was identified as metastatic prostatic adenocarcinoma. We report a case with metastasis to the testis whose local or distant sites for relapse could not be demonstrated in hormone refractory prostate cancer patient with PSA progression. These findings showed that the testicles should be examined carefully in order to detect metastatic sites in hormone refractory prostate cancer patients.

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