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Oncology
Post nephrectomy metachronous testicular metastasis in a case of clear cell renal cell carcinoma (ccRCC)
  1. Rudra Prasad Ghorai1,
  2. Sanjay Kumar1,
  3. Vaibhav Aggarwal1 and
  4. Seema Kaushal2
  1. 1 Department of Urology, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India
  2. 2 Department of Pathology, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India
  1. Correspondence to Dr Sanjay Kumar; sankum10{at}yahoo.co.in

Abstract

It is highly uncommon for solid tumours to metastasise to the testis. Here, we report a case of metachronous testicular metastasis from clear cell renal cell cancer (RCC) in a male patient 3 years after left radical nephrectomy. Ultrasound of the scrotum showed a 3.5 cm × 4 cm left testicular mass with normal serum tumour markers. The patient underwent left high inguinal orchidectomy, which revealed metastatic renal cell carcinoma. CT of the chest, abdomen and pelvis showed multiple liver secondaries. Cabozantinib was started for metastatic RCC, and the patient showed no evidence of disease progression in a follow-up of 1 year.

  • Cancer intervention
  • Renal system

https://doi.org/10.1136/bcr-2024-260647

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    Footnotes

    • Contributors The following authors were responsible for drafting the text, sourcing and editing clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content. RPG: manuscript preparation, data collection and image editing. SK: manuscript editing and final approval. VA: data collection. SK: reporting pathologist. The following authors gave final approval of the manuscript: RPG, SanK, VA and SeeK.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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