Colon Cancer Metastasis to Spermatic Cord Presenting as an Inguinal Hernia

Authors

Jessica G. Laenger, Florida State University College of MedicineFollow
Eamon FF Rooney, HCA Florida West HospitalFollow
Patrick F. Dial, HCA Florida West HospitalFollow
Candie T. Le, HCA Florida West HospitalFollow
Sanda A. Tan, HCA Florida West HospitalFollow

Keywords

metastatic cancer; adenocarcinoma; spermatic cord

Disciplines

Male Urogenital Diseases | Medical Anatomy | Neoplasms | Surgery

Abstract

Introduction

Inguinal hernias are very common. Their pathology and treatment are typically strait forward. Metastatic cancer can sometimes present as an inguinal hernia, but this presentation is often local metastasis.

Case Presentation

Herein we describe the case of a 68-year-old man who presented with a 2-month history of an inguinal hernia. Intraoperatively, the hernia sac was found to contain a mass attached to the spermatic cord, which was later determined to be a metastatic lesion from a locally advanced proximal transverse colon adenocarcinoma.

Conclusion

A spermatic cord mass can be a rare presentation of colon cancer metastasis. Colon cancer should be considered a rare but possible primary lesion when evaluating tumors of the spermatic cord.

Recommended Citation

Laenger, Jessica G.; Rooney, Eamon FF; Dial, Patrick F.; Le, Candie T.; and Tan, Sanda A. (2024) "Colon Cancer Metastasis to Spermatic Cord Presenting as an Inguinal Hernia," HCA Healthcare Journal of Medicine: Vol. 5: Iss. 2, Article 10.
DOI: 10.36518/2689-0216.1593
Available at: https://scholarlycommons.hcahealthcare.com/hcahealthcarejournal/vol5/iss2/10