Table of Contents
ISRN Oncology
Volume 2011, Article ID 612753, 3 pages
Case Report

Spermatic Cord Metastasis of Primary Hepatocellular Carcinoma Presenting as an Inguinal Mass: A Case Report

Division of Urology, Department of Surgery, Changhua Christian Hospital, 135 Nanxiao Street, Changhua City, Changhua County 500, Taiwan

Received 2 March 2011; Accepted 24 March 2011

Academic Editors: M. Amichetti and J. Bentel

Copyright © 2011 Heng-Chieh Chiang et al. 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.


Most spermatic cord masses are benign, and malignant spermatic cord tumors are uncommon. Spermatic cord metastases originating from hepatocellular carcinoma (HCC) have not been previously reported in the English language literature as determined by a PubMed search. We report a male patient who presented with a painful palpable mass in the right inguinal area. The patient was diagnosed with HCC in 2004 and undertook a nonsurgical approach to control the cancer. A radical orchiectomy was performed, and the pathological report showed metastatic HCC in the spermatic cord. The patient received palliative radiation therapy because of a positive surgical margin. No recurrence was noted after 6 months of followup.