Metastatic Renal Cell Carcinoma to the Testis: A Clinicopathologic Analysis of Five Cases

The testicular spread of renal cell carcinoma is extremely rare. Five cases of renal cell carcinoma metastatic to the testis are described. The patients ranged from 45 to 81 years of age. Four of the five patients had known renal cell carcinoma. The time intervals between the partial and radical nep...

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Main Authors: Gang Wang, Chen Zhou, Carlos F. Villamil, Alan So, Ren Yuan, John C. English, Edward C. Jones
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2020/9394680
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author Gang Wang
Chen Zhou
Carlos F. Villamil
Alan So
Ren Yuan
John C. English
Edward C. Jones
author_facet Gang Wang
Chen Zhou
Carlos F. Villamil
Alan So
Ren Yuan
John C. English
Edward C. Jones
author_sort Gang Wang
collection DOAJ
description The testicular spread of renal cell carcinoma is extremely rare. Five cases of renal cell carcinoma metastatic to the testis are described. The patients ranged from 45 to 81 years of age. Four of the five patients had known renal cell carcinoma. The time intervals between the partial and radical nephrectomies for the primary kidney tumors and the occurrence of testicular metastases ranged from 29 to 34 months. In one patient, the testicular mass was the initial presentation leading to a diagnosis of renal cell carcinoma. There were three ipsilateral metastases, one contralateral metastasis, and one bilateral metastasis. The metastatic deposits ranged in size from 2.0 to 5.7 cm. One case had multiple metastatic tumor nodules. All of the metastatic tumors had clear cell histological features, microscopically concordant with the primary renal cell carcinoma subtype. Three patients died of the disease 17 to 42 months after orchiectomy. One patient is alive with additional metastatic lesions 13 months after orchiectomy. One patient had been free of disease at 87 months after orchiectomy but is now on targeted therapy for an additional metastasis at 93 months after orchiectomy. To date, this report is one of the largest single series of patients with renal cell carcinoma metastatic to the testis, and it has the longest follow-up and survival among all the reported cases.
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series Case Reports in Pathology
spelling doaj-art-d528f3ddaf1143838b7a11d1bc41179e2025-02-03T06:43:38ZengWileyCase Reports in Pathology2090-67812090-679X2020-01-01202010.1155/2020/93946809394680Metastatic Renal Cell Carcinoma to the Testis: A Clinicopathologic Analysis of Five CasesGang Wang0Chen Zhou1Carlos F. Villamil2Alan So3Ren Yuan4John C. English5Edward C. Jones6Department of Pathology, BC Cancer Vancouver Centre, Vancouver, BC, CanadaDepartment of Pathology, BC Cancer Vancouver Centre, Vancouver, BC, CanadaDepartment of Pathology, BC Cancer Vancouver Centre, Vancouver, BC, CanadaDepartment of Urology, Vancouver General Hospital, Vancouver, BC, CanadaDepartment of Radiology, BC Cancer Vancouver Centre, Vancouver, BC, CanadaDepartment of Pathology, Vancouver General Hospital, Vancouver, BC, CanadaDepartment of Pathology, Vancouver General Hospital, Vancouver, BC, CanadaThe testicular spread of renal cell carcinoma is extremely rare. Five cases of renal cell carcinoma metastatic to the testis are described. The patients ranged from 45 to 81 years of age. Four of the five patients had known renal cell carcinoma. The time intervals between the partial and radical nephrectomies for the primary kidney tumors and the occurrence of testicular metastases ranged from 29 to 34 months. In one patient, the testicular mass was the initial presentation leading to a diagnosis of renal cell carcinoma. There were three ipsilateral metastases, one contralateral metastasis, and one bilateral metastasis. The metastatic deposits ranged in size from 2.0 to 5.7 cm. One case had multiple metastatic tumor nodules. All of the metastatic tumors had clear cell histological features, microscopically concordant with the primary renal cell carcinoma subtype. Three patients died of the disease 17 to 42 months after orchiectomy. One patient is alive with additional metastatic lesions 13 months after orchiectomy. One patient had been free of disease at 87 months after orchiectomy but is now on targeted therapy for an additional metastasis at 93 months after orchiectomy. To date, this report is one of the largest single series of patients with renal cell carcinoma metastatic to the testis, and it has the longest follow-up and survival among all the reported cases.http://dx.doi.org/10.1155/2020/9394680
spellingShingle Gang Wang
Chen Zhou
Carlos F. Villamil
Alan So
Ren Yuan
John C. English
Edward C. Jones
Metastatic Renal Cell Carcinoma to the Testis: A Clinicopathologic Analysis of Five Cases
Case Reports in Pathology
title Metastatic Renal Cell Carcinoma to the Testis: A Clinicopathologic Analysis of Five Cases
title_full Metastatic Renal Cell Carcinoma to the Testis: A Clinicopathologic Analysis of Five Cases
title_fullStr Metastatic Renal Cell Carcinoma to the Testis: A Clinicopathologic Analysis of Five Cases
title_full_unstemmed Metastatic Renal Cell Carcinoma to the Testis: A Clinicopathologic Analysis of Five Cases
title_short Metastatic Renal Cell Carcinoma to the Testis: A Clinicopathologic Analysis of Five Cases
title_sort metastatic renal cell carcinoma to the testis a clinicopathologic analysis of five cases
url http://dx.doi.org/10.1155/2020/9394680
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