Work

A novel case of testicular metastasis from prostate cancer mimicking epididymo-orchitis despite suppressed PSA

Year: 2026

Type: article

Abstract: Testicular metastasis is an uncommon complication of prostate cancer and therefore the incidence is poorly understood with the literature citing a range of incidence from 0.18% to 4%. This case report looks at a novel case of prostate cancer with testicular metastasis following good response to treatment for primary prostate cancer. The testicular lesion was found incidentally on surveillance PSMA PET CT, investigated with ultrasound and initially identified as epididymo-orchitis. The testicular lesion was later discovered on repeat imaging to be malignant in origin. Following orchidectomy it was confirmed histologically that the testicular mass was prostate in origin.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103457

Authors: Alison Hird, Tomisin Omogbehin, Lauren Matthews, Shiv Pandian

Institutions: North Middlesex University Hospital NHS Trust, North Middlesex Hospital, The Royal Free Hospital

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