Kaohsiung Journal of Medical Sciences
Volume 24, Issue 6 , Pages 315-318, June 2008

Paratesticular Metastasis of Malignant Melanoma: A Case Report

  • Omer Acar

      Affiliations

    • Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Tokat, Turkey
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Omer Acar, Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
    • ,
  • Mustafa Akinci

      Affiliations

    • Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Tokat, Turkey
    • ,
  • Nihat Uluocak

      Affiliations

    • Department of Urology, School of Medicine, Gaziosmanpasa University, Tokat, Turkey
    • ,
  • Fatih Akbulut

      Affiliations

    • Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Tokat, Turkey
    • ,
  • Isin Kilicaslan

      Affiliations

    • Department of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Tokat, Turkey
    • ,
  • Ozgur Gokce

      Affiliations

    • Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Tokat, Turkey

Received 4 September 2007; accepted 2 November 2007.

Article Outline

We report a case of multimetastatic malignant melanoma that was diagnosed after histopathologic examination of the excised paratesticular mass. Our patient initially visited the neurosurgery clinic due to low back pain. After preliminary evaluation, he was referred to our clinic due to a right scrotal mass. We excised the paratesticular mass and testis. The histopathologic findings were consistent with malignant melanoma. He was referred to the oncology department for adjuvant treatment. The patient died during the third month of chemotherapy. Our case was unique because the malignant melanoma was widely metastatic and involved primarily paratesticular tissues without any invasion of the testis and epididymis.

Key Words:  chemotherapy , melanoma , orchiectomy , paratesticular metastasis

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Hanash KA , Carney JA , Kelalis PP . Metastatic tumors to testicles: routes of metastases . J Urol . 1969;102:465–468
  2. Johnson DE , Jackson L , Ayala AG . Secondary carcinoma of the testis . South Med J . 1971;64:1128–1130
  3. Pienkos EJ , Jablowski VR . Secondary testicular tumors . Cancer . 1972;30:481–484
  4. Peterson RO . In: Urologic Pathology . 2nd edition. Philadelphia: Lippincott; 1992;p. 503–506
  5. Das GT , Grabstald H . Melanoma of the genitourinary tract . J Urol . 1965;93:604–607
  6. Milton WD , Young RH . Malignant melanoma metastatic to the testis: a report of three cases with clinically significant manifestations . Int J Surg Pathol . 2000;8:49–50
  7. Ejadi S , Rosenblum J , Berd D , et al.   Diagnostic dilemmas in oncology: melanoma metastatic to the testis . J Clin Oncol . 2000;18:3187–3188
  8. Marquez MAJ , Machuca J , Corral P , et al.   Paratesticular recurrence of renal carcinoma . Arch Esp Urol . 2001;54:1135–1137
  9. Aydin GB , Ciftci AO , Yalcin B , et al.   Paratesticular metastasis from Wilms tumor associated with a hydrocele . Pediatr Blood Cancer . 2006;47:97–99
  10. Rigel DS . Malignant melanoma: perspectives on incidence and its effects on awareness, diagnosis, and treatment . CA Cancer J Clin . 1996;46:195–198

PII: S1607-551X(08)70158-X

doi:10.1016/S1607-551X(08)70158-X

Kaohsiung Journal of Medical Sciences
Volume 24, Issue 6 , Pages 315-318, June 2008

Article Tools