Sigmoid Adenocarcinoma with Regional Scrotal Metastasis
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Colorectal cancer is a common disease, representing the third and second most common cause of cancer death in the United States in women and men, resectively. It is estimated that 20% of patients have distant metastatic disease at time of diagnosis. The most common metastatic sites include regional lymph nodes, liver, lungs, and peritoneum via lymphatic/hematogenous dissemination as well as contiguous and transperitoneal routes.Upon review of the literature, we found that metastatic colon cancer to the scrotum is rare. The following case report proved to be a unique example of this type of metastasis. This rare regional metastasis is theorized to have resulted from a colo-urethro-scrotal fistula that precipitated from the patient’s prior traumatic event....

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