[Metachronic testicular tumor secondary to invasive bladder carcinoma].

OBJECTIVE

To report a rare case of testicular metastasis secondary to an infiltrative transitional cell carcinoma years after radical surgery.

CASE REPORT: 71-year-old male patient with history of infiltrative bladder tumor, status post radical cystoprostatectomy with urethrectomy. Seven years after surgery he presents with pain and swelling in the right testicle. Inguinal orchyectomy was carried out with the pathologic diagnosis of testicular metastasis of a high-grade transitional cell carcinoma. We perform a bibliographic review.

RESULTS

The patient is disease-free twelve months after orchyectomy.

CONCLUSIONS

Apart from leukemia and lymphoma, testicular metastases are extremely rare. The existence of testicular metastases means a metastatic dissemination to other organs, therefore chemotherapy could improve prognosis.