case_images: PMC9411008_01
case_images: Scrotal ultrasonography image showing liquid component. Neoplastic lesions, normal testicle components, and the epididymis were not clearly visible.
case_images: CRIU2022-2649259.001.jpg
case_images: PMC9411008_01_CRIU2022-2649259.001.jpg
case_images: fig1
case_images: Scrotal ultrasonography showed a liquid component in the scrotum, while neoplastic lesions, normal testicle components, or the epididymis were not clearly visualized (Figure 1).
case_images: MRI T2-weighted image of the pelvis showing a 7.3 x 5.4 x 4.5 cm testicular mass consisting of a cystic solid tumor (arrow) as well as normal testicle components (dashed line arrow).
case_images: CRIU2022-2649259.002.jpg
case_images: PMC9411008_01_CRIU2022-2649259.002.jpg
case_images: fig2
case_images: Magnetic resonance imaging (MRI) of the pelvis was then performed for reevaluation, which showed a 7.3 x 5.4 x 4.5 cm cystic solid tumor in the right scrotum, suspected to be a seminoma or malignant lymphoma (Figure 2, T2-weighted image).
case_images: Macroscopic views of the resected specimen showing ill-defined white solid mass found above the testis (arrow) and in the epididymis (arrowhead).
case_images: CRIU2022-2649259.003.jpg
case_images: PMC9411008_01_CRIU2022-2649259.003.jpg
case_images: fig3
case_images: As shown in Figure 3, an ill-defined white solid mass was found above the right testis (3.0 cm) and another in the epididymis (1.3 cm).
case_images: Histological findings of resected testis showed an adenocarcinoma with moderate differentiation, identical to the primary colon cancer (H&E stain, x200).
case_images: CRIU2022-2649259.004.jpg
case_images: PMC9411008_01_CRIU2022-2649259.004.jpg
case_images: fig4
case_images: Histopathological results also showed an adenocarcinoma with moderate differentiation, which was identical to the primary colon cancer (Figure 4).