Man’s colon cancer spreads to his TESTICLE “through tubes damaged when he was kicked into the scrotum by a mule 20 years ago”
- The 53-year-old had to have his testicle surgically removed while receiving chemo
- He had seen doctors in Iowa City with a growing bump in his right scrotum
- Scans showed a mass growing on a tube in his testicle
- Colon cancer can spread through lymph vessels that run through the body
- It is possible that damage to the barrels of the shovel led to the ‘unusual’ case
A man whose colon cancer spread to one of his testicles reportedly got into the bizarre situation because of a traumatic kick against his groin 20 years earlier.
The 53-year-old, who was not mentioned, had to have his testicular surgically removed while receiving chemotherapy for his colon cancer.
Doctors in Iowa City found the mass during scans after the patient reported a lump on his scrotum.
The lump had been there since the man was kicked by the mule at the age of 33, but he said it had grown rapidly in the last year.
Surgeons discovered that the tumor was usually on the man’s epididymis – the tube that transports sperm from the testicles.
It is ‘normal’ for colon cancer, also known as colon cancer, to spread through the body through lymphatic vessels, parts of the immune system that run through the body.
Extremely ‘unusual’ cases of cancer that spread like this have only been reported five times in the medical literature.
Colon cancer from an unknown man spread to his testicle after a traumatic kick to the scrotum 20 years earlier. On the photo the scan in August 2018 that showed a suspicious mass of abnormal tissue in his right testicle
Writing in the medical journal BMJ Case Reports, urologist Dr. Moshe Wald from the University of Iowa said the specific case of the man was “unique.”
He had gone to a clinic in June 2018, worried about a lump in his right scrotum that had grown bigger in the last year.
It had been almost 20 years without causing pain or problems, the man said.
Scans showed a 1.1 cm (0.4 inch) tumor at the base of his testicle during scans, but it was initially believed to be benign (non-cancerous).
WHAT ARE THE MEDICAL EFFECTS OF LOSING A TESTICLE?
Rob Cornes, a male cancer nurse at the cancer organization Orchid, MailOnline told about the dangers earlier.
He wrote: “About 90 percent of the male sex hormone testosterone is produced by the testicles.
‘Testosterone is the hormone that is responsible for secondary male characteristics such as muscle, bone growth, hair pattern, deep voice and a general sense of well-being in men.
“It is also responsible for sperm growth. Removing one testicle does not affect overall testosterone levels, sex drive, or the ability to get an erection or fertility.
“Provided the remaining testicle is healthy, he should do the work of both.
“If it is performed for testicular cancer and subsequent chemotherapy is needed, men are advised to store sperm because chemotherapy can cause temporary infertility.
“Men who lose both testicles probably have erection problems due to the reduced testosterone level. They will also not be able to father a child naturally.
“When testosterone levels are minimal, men often experience a loss of libido, well-being and may experience lethargy, a bad mood and depression, weight gain and sometimes breast swelling.
“Testosterone replacement therapy is needed in this situation. This can be given in the form of injections, gels or patches, but it may take several weeks for the levels to normalize. “
However, during a check three months later, a scan of the inside of his testes showed that abnormal tissue was growing. It became clear that it was an infection or cancer.
A physical examination showed that the lump was on the epididymis and spermatic cord
The epididymis is a thumb-shaped tube with a head and tail. It stores sperm as they mature and before being sent to the penis.
The spermatic cord is a bundle of fibers with various tasks, including the removal of sperm from the testicles.
After extensive conversations, the patient finally agreed to let the doctors look at surgery between chemotherapy sessions.
They took a mass biopsy that confirmed adenocarcinoma, a cancer that forms in mucus-secreting glands.
Based on the results, the man had to have his right testicle removed.
Dr. Wald said the cancer had spread from the gut, which, although extremely rare, is not unheard of.
It was previously reported that cancer also spread to the testicles from the stomach and other digestive organs.
Dr. Wald said post-traumatic changes after the mule kick are possible, especially for the lymphatic system.
The system runs throughout the body and consists of lymph nodes and lymph vessels. It is his job to drain fluid into the body.
If there was a dysfunction in the blood vessels around the testicle after the stairs, this could have caused an “unusual spread” of cancer, in which cancer cells were transported through the tubes and accumulated elsewhere.
Spread of colon cancer through the lymph vessels is fairly normal, Wald said, although it rarely affects the testicles or the penis.
Dr. Wald said: “The patient recovered well from surgery and continues to treat his metastatic colon cancer by medical oncology team.”