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Paraganglioma of the Spermatic Cord With Spinal Metastasis: A Case Report.
Metadata
Journalurology1.924Date
2020 Jun 04
4 months ago
Type
Journal Article
Volume
2020-Sep / 143 : e7-e11
Author
Yankelevich GR 1, Piraino J 2, Akanda S 3, Edwards DC 2, Gerges M 1, Snow ZA 2, McGreen B 2, Levy J 2, Ciocca V 2, Hagg MJ 2
Affiliation
  • 2. Department of Urology, Main Line Health, Philadelphia, PA.
  • 3. Philadelphia College of Osteopathic Medicine, Philadelphia, PA. Electronic address: [email protected]
Doi
PMIDMESH
Abstract
A 40-year-old male with presented to the clinic with the chief complaint of right inguinal pain radiating to his right testicle and right thigh with no history of trauma, fever, chills, dysuria, hematuria, or unprotected sexual activity. Physical exam revealed right testicular tenderness with no palpable abnormality of the bilateral testes or spermatic cords. Scrotal ultrasound was performed and was unremarkable for testicular or other intrascrotal pathology. Concurrently, chronic low back pain had prompted a lumbar CT to be performed, which was indeterminate, but subsequent lumbar MRI performed three months later revealed abnormal signals in the vertebral bodies of T12, L3, and L5, concerning for occult metastatic disease or multiple myeloma. PET-CT was performed revealing hypermetabolic lesions throughout the axial skeleton and, most notably, hypermetabolic lesions in the left inguinal and left upper scrotum. At this time, about 4 months after the original visit, physical exam revealed a palpable mobile mass in the left upper scrotum that was distinct from the left testicle, and another mass palpable near the left inguinal ring.
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Urologyurology
Metadata
LocationUnited States
FromELSEVIER SCIENCE INC

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