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Prostate cancer metastasis to the testis: an unexpected presentation of a solitary recurrence
  1. Conor McCann1,
  2. Anna Doherty1,
  3. Ciaran Flynn2 and
  4. Colin Mulholland1
  1. 1Urology Department, Altnagelvin Hospital, Western Health and Social Care Trust, Derry, UK
  2. 2Histopathology Department, Altnagelvin Hospital, Western Health and Social Care Trust, Derry, UK
  1. Correspondence to Mr Conor McCann; cmccann684{at}


A 74-year-old man with a history of prostate cancer was referred to the urology team with a new left sided testicular lump. He had a background of prostate cancer 4 years previous which had been treated with external beam radiotherapy and androgen deprivation therapy, both of which had been completed. Concurrently, he also had evidence of biochemical recurrence of prostate cancer with a rising prostate-specific antigen (PSA). He underwent a left radical orchidectomy. Following histopathological analysis, this was found to be metastatic spread from his prostate cancer. Subsequent staging showed no evidence of metastatic spread elsewhere. The patient made a good recovery following surgery and his PSA levels returned to undetectable levels. He received no further treatment for metastatic prostate cancer.

  • prostate
  • urological cancer
  • prostate cancer

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  • Contributors CM: author. AD and CM: review. CF: review and captions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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