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Case Reports

Testicular Metastasis From Adenocarcinoma of the Esophagus

^a Department of Surgery, Technische Universität München, Klinikum Rechts der Isar, Munich, Germany
^b Department of Pathology, Technische Universität München, Klinikum Rechts der Isar, Munich, Germany
^c Gemeinschaftspraxis Pathologie/Lachnerstrasse, Munich, Germany

Accepted for publication July 25, 2008.

^_* Address correspondence to Dr Feith, Department of Surgery, Technische Universität München, Klinikum rechts der Isar, Ismaninger Str. 22, Munich, 81675, Germany (Email: feith{at}chir.med.tu-muenchen.de).

We report the case of a 61-year-old patient, operated on for adenocarcinoma of the esophagus in 2002, who presented in 2007 with a hydrocele and palpable mass of the right testis. Operative exploration and orchiectomy were performed. Histopathology revealed a testicular and epididymidal metastasis from the esophageal adenocarcinoma. Only a few testicular metastases have been reported from gastrointestinal cancers. No case of testicular metastasis from esophageal cancer, including Barrett's carcinoma has been reported. In most cases, the testicular tumor was accompanied by a hydrocele. Therefore, cancerous and metastatic lesions should be considered in the management of hydrocele and testicular masses.