Generalized Scrotal Edema as the First Sign of Gastric Cancer: A Case Report
Gastric cancer is one of the most common cancers capable of distant metastasis, but Scrotal and penile metastasis are very unusual, and occasionally, the initial manifestation of a latent primary tumor is even rarer. Mechanisms of gastric metastasis have been suggested through different pathways.
In this study, we present a case in which a patient presented with painless swelling of the testicles and penis. The main was in the stomach. As far as we know, this is the first report of a scrotal and penile metastasis from gastric adenocarcinoma in Iran. At the time of diagnosis of these metastases had not yet been diagnosed with gastric cancer.
Therefore, gastric tumors can metastasize to the genital area through lymphatic vessels in a reversible pathway. However, Proper imaging studies can identify early sites.
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