A Case of Rectal Cancer with Spermatic Cord Metastasis after Surgery

Abstract

We here in report a rare case of a patient with left spermatic cord metastasis from rectal cancer. A 75-year-old man had Robot-assisted low anterior resection (Robot-LAR) for rectal cancer (pT4aN0M0 pStage IIb) and received adjuvant chemotherapy when he was 73 years old. Nine months after the operation, the patient underwent a laparoscopic inguinal hernia repair for a left external inguinal hernia, and 22 months after the operation did laparoscopic partial hepatic resection of S4 for a liver metastasis. Twenty-seven months after the operation, his CT and PET/CT scans showed an enhanced tumor in the left inguinal region. He was diagnosed with spermatic cord metastasis of rectal cancer and received left orchiectomy. Histopathology showed adenocarcinoma compatible with metastasis from the rectal cancer. Due to the rarity of spermatic cord metastasis from gastrointestinal cancer, especially from rectal cancer, we here present the case.