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KMID : 0357919820160030553
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Korean Journal of Pathology
1982 Volume.16 No. 3 p.553 ~ p.556
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Metastatic Renal Cell Carcinoma in the Epididymis -A Case Report-
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박용욱/Yong Wook Park
유재형/송계용/안희중/Jae Hyung Yoo/Kye Yong Song/Hi Jung An
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Abstract
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Renal cell carcinoma is notorious for its wide metastasis to the nearly all systemic
organs, frequently to the lung, lymph nodes, liver and bone and rarely to the thesis,
epididymis, and ovary via testicular or ovarian veins. Herein reported is rare metastatic
renal cell carcinoma in the epididymis and spermatic veins showing quite similar
histology to the papillary cystadenoma of primary origin.
The patients was a 73 fears o]4 male admitted to the KAERI Hospital on Jan. 9th.
1980 with chief complaints of gross hematuria. CBC and chest X-ray findings were
within normal limits. Urinalysis revealed only hematuria. Right kidney was not
visuslized in IVP although left kidney showed normal appearance. Cystoscopic findings
revealed hematuria from the right side ureter. Enlargement of para-aortic lymph nodes
were noted during total nephrectomy of right side. Extirpated right kidney measured 16
×8×7.5cm. Cut surface exhibited yellowish and necrotic tumor mass in the upper pole,
measuring 10×8cm. The patients was irradiated by Co60 about 5,400 Rad
after operation.
Six months later right spermatic cord and epididymis was indurated but no other
metastatic signs were noted. So resection of spermatic cord and epidymis was done
under the impression of tuberculosis on Feb. 20th. 1981. Resected organs were right
testis, epididymis and spermatic cords, measuring 8×7×4cm. Cut surface exhibited
yellowish white lobular appearance in both epididymis and surronding spermatic veins
but testis was remained intact. Microscopic findings revealed the same histologic
features of the previous renal cell carcinoma of the kidney and many tumor emboli in
the spermatic veins.
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