PMC9411008_01
Scrotal ultrasonography image showing liquid component. Neoplastic lesions, normal testicle components, and the epididymis were not clearly visible.
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Scrotal ultrasonography showed a liquid component in the scrotum, while neoplastic lesions, normal testicle components, or the epididymis were not clearly visualized (Figure 1).
MRI T2-weighted image of the pelvis showing a 7.3 x 5.4 x 4.5 cm testicular mass consisting of a cystic solid tumor (arrow) as well as normal testicle components (dashed line arrow).
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Magnetic resonance imaging (MRI) of the pelvis was then performed for reevaluation, which showed a 7.3 x 5.4 x 4.5 cm cystic solid tumor in the right scrotum, suspected to be a seminoma or malignant lymphoma (Figure 2, T2-weighted image).
Macroscopic views of the resected specimen showing ill-defined white solid mass found above the testis (arrow) and in the epididymis (arrowhead).
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As shown in Figure 3, an ill-defined white solid mass was found above the right testis (3.0 cm) and another in the epididymis (1.3 cm).
Histological findings of resected testis showed an adenocarcinoma with moderate differentiation, identical to the primary colon cancer (H&E stain, x200).
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Histopathological results also showed an adenocarcinoma with moderate differentiation, which was identical to the primary colon cancer (Figure 4).