Metastases to the spermatic cord, epididymis and testicles from carcinoma of the prostate--five cases.

In five out of 80 patients, orchiectomized in the course of treatment for prostatic carcinoma, metastatic growth in testicles, epididymis and/or spermatic cord was found. Two patients had bilateral metastases. Metastatic spread to scrotal organs seems to be more common than earlier thought. The most common way of dissemination is probably by lymphatic extension. Scrotal spread is a sign of advanced disease.