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Yayın Metastasis to the epididymis and spermatic cord from colon adenocarcinoma: A case report(Türk Medline, 2008) Karagöz, B.; Bilgi, O.; Küçükodacı, Z.; Soydan, H.; Özgün, A.; Yılmaz, B.; Sönmez, G.; Kandemir, E. G.Metastasis to the epididymis and spermatic cord rare. We presented a case of colon adenocarcinoma with epididymis and spermatic cord metastasis. Sixtyeight years old man with kolon carcinoma has been treated for 3 years. A painless scrotal mass and hydrocel has been detected. A orchiectomy has performed. Histopathologic examination showed metastasis to epididymis, rete testis, ductus deference, and paratesticular soft tissue from colonic adenocarcinoma. The patient has been followed for six months after diagnosis of paratesticular metastasis. The suspected route of dissemination to paratesticular tissues is transperitoneal seeding and hematogenous dissemination, because existence of abdominal and pelvic metastasis. Metastases to atypical sites as paratesticular tissues occur in patients with advanced cancer, although anatomic localization is inadequate.
