CASE REPORT article

Front. Oncol.

Sec. Genitourinary Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1527574

Scrotal Wall Metastasis of Gastric Adenocarcinoma: A Rare Case Report and Literature Review

Provisionally accepted
YuanHao  WangYuanHao WangYi  HouYi HouJingyu  ZhangJingyu ZhangKunfeng  GuoKunfeng GuoJinyu  LuoJinyu LuoShengnan  LiShengnan LiGang  MuGang Mu*
  • The Fourth People's Hospital of Shenyang, Shenyang, China

The final, formatted version of the article will be published soon.

Metastasis of gastric adenocarcinoma typically involves the liver, peritoneum, and lymph nodes, whereas scrotal wall metastasis is extremely rare, with very few cases reported in the literature. We report a case of a 60-year-old male patient who presented with right-sided scrotal swelling. The patient had previously undergone total gastrectomy and multiple chemotherapy sessions for gastric adenocarcinoma. In June 2024, the scrotal wall metastasis of gastric adenocarcinoma was confirmed. The patient underwent excision of the right scrotal lesion, spermatic cord excision, and right epididymis and testis resection. Immunohistochemical markers, such as CK20, CK7, and CDX-2, were positive, which supported the diagnosis of metastatic gastric adenocarcinoma. Follow-up three months post-surgery showed no evidence of tumor recurrence.

Keywords: Scrotal metastasis, gastric cancer, case report, Urology, Cancer

Received: 13 Nov 2024; Accepted: 09 Jun 2025.

Copyright: © 2025 Wang, Hou, Zhang, Guo, Luo, Li and Mu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Gang Mu, The Fourth People's Hospital of Shenyang, Shenyang, China

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