Spermatic cord metastasis of gastric cancer diagnosed from right groin pain

Approximately half of the primary spermatic cord tumors are malignant. Most of them are stroma-derived sarcomas. Around 8 % of malignant spermatic cord tumors are reported to be metastatic origin. Here, we report a rare case of gastric adenocarcinoma that metastasized to spermatic cord after 3 years of gastric surgery. Pathological diagnosis of resected spermatic cord was adenocarcinoma of gastric origin whose putative route of metastasis was direct invasion from cancerous ascites. Since this case resulted in a longer survival rate than those reported in the past, this case suggests that surgical intervention in this case might have been beneficial in terms of tumor volume reduction and making accurate diagnosis as well as improving patient's QOL.