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CASE REPORT
Year : 2010  |  Volume : 6  |  Issue : 1  |  Page : 89-91

Late solitary testicular metastasis from rectal cancer


1 Ipswich Hospital NHS, United Kingdom
2 Department of Medical Oncology, Tamworth Hospital, Australia
3 Department of Medical Oncology, Royal Darwin Hospital, Darwin, NT, 0810, Australia
4 Royal Adelaide Hospital, Australia

Correspondence Address:
Mathew George
Department of Medical oncology, Tamworth Hospital, New South Wales
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.63562

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Isolated testicular metastasis from rectal cancer is rare. We describe the case of a patient who presented with a locally advanced rectal malignancy and underwent multimodality treatment with low anterior resection, postoperative radiotherapy and adjuvant chemotherapy. He developed a painless testicular nodule while on follow-up, five years after the diagnosis of primary rectal cancer. Histopathology and immunohistochemistry of orchidectomy specimen were compatible with a metastatic adenocarcinoma of rectal origin. We hypothesize that this phenomenon of isolated relapse in a sanctuary site could be due to the altered biology and pattern of metastasis as a result of effective adjuvant systemic chemotherapy. Treatment of late isolated relapse in the testis needs to be ascertained.


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