Work

Case report: Metastatic pancreatic cancer to bilateral testes and spermatic cords

Year: 2026

Type: article

Abstract: We present a 65-year-old man with pancreatic cancer treated with chemotherapy and chemoradiation for local control, who presented three years later with groin pain and a retracted right testis. Evaluation revealed pancreatic ductal adenocarcinoma metastatic to bilateral testes and spermatic cords with rising CA19-9. He underwent palliative bilateral radical orchiectomy. We present this case of metastatic pancreatic cancer to bilateral testes and spermatic cords as the first report in the English literature. This case highlights the need to consider metastatic disease in men over 40 presenting with a new testicular or spermatic cord mass and a history of malignancy.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103419

Authors: Matthew Phillipi, Sidney Roberts, David Yao

Institutions: University of California, Los Angeles, The University of Texas Southwestern Medical Center

Language: English

Topic: Metastasis and carcinoma case studies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160