Abstract
A 52-year-old man presented with right inguinal mass. The diagnosis was made as not a simple hernia, but a tumor of the spermatic cord. The mass was excised, and the pathological finding showed adenocarcinoma. Additional examination revealed primary cancer arising from the cecum. Right hemicolectomy was performed, and the resected specimen was n0, ss, moderate differentiated adenocarcinoma, ly2, v0. Peritoneal dissemination became manifest 6 months after the colon surgery, and the patient died of the disease 22 months after the surgery regardless of chemoradiotherapy combined with hyperthermia.
Careful macroscopic and microscopic examinations would be important as well as necessary for screening occult cancer.
