Gastric cancer recurs in the spermatic cord after 6 years without recurrence

This gastric cancer diagnosis at a glance

Stage at diagnosis
Stage IV
Subtype
Adenocarcinoma
Sex
Male
Spread to
spermatic cord
Treatment
surgery and chemotherapy
Outcome
Cancer-Free / NED

Treatment course, step by step

  1. Underwent total gastrectomy for the original gastric cancer.
  2. Received 3 cycles of capecitabine plus cisplatin.
  3. Six years later, underwent radical inguinal orchiectomy for metastatic adenocarcinoma involving the spermatic cord.

What happened, in summary

A 60-year-old man developed inguinal pain after having no evidence of recurrence for 6 years following treatment for gastric adenocarcinoma. His original treatment had included total gastrectomy followed by 3 cycles of capecitabine plus cisplatin chemotherapy.

Imaging later showed a mass in the spermatic cord. He underwent radical inguinal orchiectomy, and pathology demonstrated moderately differentiated mucinous adenocarcinoma. The spermatic-cord tumor represented a late metastatic recurrence from the gastric primary, making the disease Stage IV.

At 20 months after orchiectomy, he was stable and had no recurrence. This follow-up placed him more than 7 years beyond treatment of his original gastric cancer.

Where this story comes from

This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full

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