Generalized Scrotal Edema as the First Sign of Gastric Cancer: A Case Report
نویسندگان
1 Department of Urology, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Urology, School of Medicine, Al-Zahra Hospital, Isfahan University of Medical Sciences,Iran
3 Department of Urology, School of Medicine, Al-Zahra Hospital, Isfahan University of Medical Sciences,Iran
4 School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
5 Department of Pathology, Isfahan Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
6 Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
7 Department of Dermatology, School of Medicine, Shohadaye Tajrish Hospital, Tehran University of Medical Sciences,Iran
doi
10.22034/tru.2021.298093.1078چکیده
Introduction: Gastric cancer is one of the most common cancers capable of distant metastasis, but Scrotal and penile metastasis are very unusual, and occasionally, the initial manifestation of a latent primary tumor is even rarer. Mechanisms of gastric metastasis have been suggested through different pathways.Case presentation: In this study, we present a case in which a patient presented with painless swelling of the testicles and penis. The main way is the stomach. As far as we know, this is the first report of a scrotal and penile metastasis from gastric adenocarcinoma in Iran. At the time of diagnosis, these metastases had not yet been diagnosed with gastric cancer.Conclusions: Therefore, gastric tumors can metastasize to the genital area through lymphatic vessels in a reversible pathway. However, Proper imaging studies can identify early sites.
