Journal of Cancer Research and Therapeutics

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

Late solitary testicular metastasis from rectal cancer


Ramachandran Venkitaraman1, Mathew George2, Suranga Weerasooriya3, Sid Selva-Nayagam4 
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

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.


How to cite this article:
Venkitaraman R, George M, Weerasooriya S, Selva-Nayagam S. Late solitary testicular metastasis from rectal cancer.J Can Res Ther 2010;6:89-91


How to cite this URL:
Venkitaraman R, George M, Weerasooriya S, Selva-Nayagam S. Late solitary testicular metastasis from rectal cancer. J Can Res Ther [serial online] 2010 [cited 2020 Jul 9 ];6:89-91
Available from: http://www.cancerjournal.net/article.asp?issn=0973-1482;year=2010;volume=6;issue=1;spage=89;epage=91;aulast=Venkitaraman;type=0