[Secondary pseudopriapism after lymphatic invasion in a patient with adenocarcinoma of the rete testis].

We present a case, the first ever published to our knowledge, of penile metastasis from rete testis adenocarcinoma. 62 years old male, who underwent orchiectomy for left testicular mass. Pathology results reveal rete testis adenocarcinoma. Ten months after chemotherapy, show up a pseudopriapism as a consequence of lymphatic infiltration from low differentiated carcinoma in the biopsy of the glans and foreskin taken during shunt surgery and circumcision. Immunohistochemistry revealed that was a primary testicular tumor metastasis, positivity for EMA, negativity for AFP, PLAP, CD117 and CD30 was seen, supporting the diagnosed of metastatic rete testis adenocarcinoma and excluding other tumors. Rare but highly aggressive tumor, poor prognosis because late diagnosis and bad response to adjuvant surgical or chemotherapeutic treatment. The patient dies one month after the surgery.