Author/Editor     Ocvirk, Janja; Šeruga, Boštjan
Title     Paratesticular adenocarcinoma: unusual presentation of metastasis of pancreatic cancer
Translated title     Paratestikularni žlezni rak - neobičajna oblika zasevka raka trebušne slinavke
Type     članek
Source     Radiol Oncol
Vol. and No.     Letnik 41, št. 1
Publication year     2007
Volume     str. 39-40
Language     eng
Abstract     Background. Metastatic paratesticular adenocarcinoma from the pancreatic cancer is very rare. To our knowledge, there are less than 20 cases published in the literature. Case report. We experienced a case of paratesticular adenocarcinoma from the primary pancreatic cancer. A 42-year-old man was presented with locoregionally advanced carcinoma of the tail of the pancreas with intraoperatively found liver metastases and with a tumour in the right hemi-scrotum. Ultrasound of the scrotum revealed a paratesticular tumour. A fine needle aspiration biopsy (FNAB) confirmed a poorly differentiated adenocarcinoma and it was in concordance with the diagnosis of the primary tumour. The patient started treatment with chemotherapy with gemcitabine. Unfortunately, he progressed one month later and the treatment was discontinued. Conclusions. Outcome in the adenocarcinoma of the pancreas is dismal. The only possible treatment option for metastatic disease is systemic therapy but the results are disappointing, as in the present case.
Summary     lzhodišča. Metastatski paratestikularni žlezni rak trebušne slinavke je zelo redka oblika bolezni. Po nam dostopnih podatkih je v literaturi do sedaj opisanih manj kot 20 primerov. Prikaz bolnika. Predstavljamo bolnika z zasevkom primarnega raka repa trebušne slinavke v paratestikularnem tkivu. Pri 42-letnem bolniku z lokalno napredovalim rakom v repu trebušne slinavke smo intraoperativno odkrili jetrne zasevke, sočasno pa tudi tumor v desni polovici mošnje, ki je ultrazvočno pripadal paratestikularnemu tkivu. S tankoigelno aspiracijsko biopsijo (TAB) je bila potrjena citološka diagnoza slabo diferenciiranega žleznega raka, ki je bila skladna z diagnozo primarnega raka v repu trebušne slinavke. Bolnika smo pričeli zdraviti s kemoterapijo z gemcitabinom. Kljub temu smo že po enem mesecu ugotovili napredovanje bolezni in smo sistemsko zdravljenje prekinili. Zaključki. Pričakovani potek bolezni pri bolnikih z žleznim rakom trebušne slinavke je zelo neugoden. Edino možno zdravljenje pri razširjeni obliki bolezni je sistemska terapija, vendar rezultati zdravljenja niso ohrabrujoči, kot kaže tudi opisani primer bolnika.
Descriptors     PANCREATIC NEOPLASMS
ADENOCARCINOMA
NEOPLASM METASTASIS
TESTICULAR NEOPLASMS
ADULT