Generalized Scrotal Edema as the First Sign of Gastric Cancer: A Case Report

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 differen...

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Main Authors: Reza Kazemi, Diana Taheri, Mohammad Eslamian, Leila Ghadirzade Arani, Shervin Mohammadpour, Hossein Bahrami Samani, Hanieh Salehi
Format: article
Language:EN
Published: Urology Research Center 2021
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Online Access:https://doaj.org/article/54e39a12deda48b28daf4b18bee8180c
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Summary: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 was in 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 of 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.