A 59-year-old man underwent a total gastrectomy for advanced gastric cancer of type 2 in March 1997. Histopathologically it wan T2NOHOPOCYXMO in Stage IB. In addition a radical operation for a right external inguinal hernia was performed on the 4th week after the operation. About 22 months later, tumor markers increased and an abdominal CT scan visualized periaortic lymph nodes metfstasis. Systemic chemotherapy was performed. The patient became to notice cords at the bilateral inguinal regions and a pain-ful walnut-sized tumor covering from the right inguen to scrotum. Biopsy revealed that the tumor was adenocarcinoma and had many morphological resemblances to those of the previous gastric cancer resected about 2 years before. With a diagnosis of of scrotal metastasis from the gastric cancer and systemic chemotherapy was started. After the chemotherapy, the right inguinal pain was alleviated and the patient is strictly followed up.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)