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Year : 2020  |  Volume : 31  |  Issue : 3  |  Page : 136-138

Accidentally found metastatic adenocarcinoma of prostate in an incised inguinal hernia sac

1 Division of Urology, Taipei City Hospital Renai Branch, Taipei, Taiwan
2 Division of Urology, Taipei City Hospital Renai Branch; Department of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan
3 Division of Pathology, Taipei City Hospital Renai Branch, Taipei, Taiwan

Correspondence Address:
Yu-Wei Lai
Division of Urology, Taipei City Hospital Renai Branch, No. 10, Sec. 4, Ren'ai Rd., Da'an Dist., Taipei 106
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/UROS.UROS_94_19

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An 83-year-old male patient received hernioplasty, and the submitted specimen was incidentally found to microscopically have adenocarcinoma of prostatic. He received transrectal ultrasound-guided prostate biopsy and prostate adenocarcinoma with confirmed Gleason score 4 + 5. Inguinal hernia sacs obtained from hernioplasty are routinely sent for pathological examination in some medical facilities although meaningful results are rare. A retrospective study released in 2014 presented only 11 cases (0.35%) of malignancy in a total of 3117 specimens, while one-third of the patients had preexisting malignancies before operations. There were only sporadic cases reports on the prostate cancer disclosed in hernia sacs, while nearly all cases displayed metastasis that was found in the inguinal hernia sac. These findings suggested the advanced nature of the disease and diminished survival time. This report reminds us of the polymorphic characteristics of prostate cancer and its possibility of metastasis in an unusual way.

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