case_images: PMC2647915_01
case_images: Macroscopic appearance of excised right testis and overlying scrotal skin. Arrow demonstrates cutaneous invasion by necrotic carcinoma.
case_images: 1757-1626-2-111-1.jpg
case_images: PMC2647915_01_1757-1626-2-111-1.jpg
case_images: F1
case_images: Ultrasound of scrotum demonstrated a heterogenous solid vascular lesion of the scrotal skin thought to originate in the upper pole of the right testis (figure 1).
case_images: Ultrasound right testis demonstrating loss of tissue plane between testis and adjacent structures/overlying skin (arrow).
case_images: 1757-1626-2-111-2.jpg
case_images: PMC2647915_01_1757-1626-2-111-2.jpg
case_images: F2
case_images: He underwent radical en-bloc resection of the scrotal skin and underlying testis due to intra-operative suspicion of testicular involvement (figure 2).
case_images: Haematoxylin and eosin (H&E) stains positive for carcinoma cells, magnification x 40.
case_images: 1757-1626-2-111-3.jpg
case_images: PMC2647915_01_1757-1626-2-111-3.jpg
case_images: F3
case_images: Histological analysis of the excised specimen showed metastatic moderately differentiated adenocarcinoma, most likely of large bowel origin, infiltrating the skin and subcutaneous tissue of the scrotum (figure 3).
case_images: Demonstrates tumour tissue staining strongly positive for CEA, magnification x 400.
case_images: 1757-1626-2-111-4.jpg
case_images: PMC2647915_01_1757-1626-2-111-4.jpg
case_images: F4
case_images: Demonstrates tumour tissue staining strongly positive for CK-20, magnification x 400.
case_images: 1757-1626-2-111-5.jpg
case_images: PMC2647915_01_1757-1626-2-111-5.jpg
case_images: F5