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Case Reports in Urology
Volume 2012, Article ID 486245, 2 pages
Case Report

Metastatic Transitional Cell Carcinoma of the Bladder to the Testis: A Case Report

Southern Alberta Institute of Urology, University of Calgary, Suite 6645, 7707-14 Street SW, Calgary, AB, Canada T2V 1P9

Received 12 September 2012; Accepted 1 October 2012

Academic Editors: L. Henningsohn, S. Srinivas, and T. C. S. Woo

Copyright © 2012 Gregory N. Kozak and Nicholas C. Field. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


An 84-year-old gentleman presented with onset of gross hematuria in September 2010. Follow-up investigations revealed T1 superficially invasive, poorly differentiated, papillary urothelial carcinoma. He subsequently had GreenLight laser for BPH and bladder neck contracture on two occasions. He developed a right hydrocele 16 months after initial presentation and during his hydrocelectomy, a rock-hard right epididymis and testicle were discovered. Pathology revealed metastatic urothelial carcinoma replacing nearly the entire testis with lymphovascular invasion.