Abstract
A rare case of solitary colon cancer metastasis to the spermatic cord is presented. A 68-year-old man had a right hemicolectomy for stage IV cecal cancer and a partial hepatic resection for liver metastases in October 2008 ; he also received adjuvant chemotherapy : Subsequently, 19 months later a recurrent liver metastasis was found and was resected ; unfortunately, 23 months later another liver metastasis was found and was treated using radio-frequency ablation (RFA). On follow-up, the patient's serum CEA level rose to 62.9 ng/ml (normal : <4.0 ng/ml), and positron emission tomography (PET-CT) suggested right iliac lymph node metastasis and liver metastasis. After partial hepatic resection, the right iliac area was explored ; a spermatic cord tumor was incidentally identified and resected. Histological examination of the resected tumor revealed a well-differentiated adenocarcinoma spermatic cord metastasis compatible with a metastasis from the cecal cancer. The patient's postoperative course was uneventful, and he has shown no evidence of recurrent disease during 4 months of postoperative follow-up.
