Case report: Metastatic pancreatic cancer to bilateral testes and spermatic cords

We present a 65-year-old man with pancreatic cancer treated with chemotherapy and chemoradiation for local control, who presented three years later with groin pain and a retracted right testis. Evaluation revealed pancreatic ductal adenocarcinoma metastatic to bilateral testes and spermatic cords with rising CA19-9. He underwent palliative bilateral radical orchiectomy. We present this case of metastatic pancreatic cancer to bilateral testes and spermatic cords as the first report in the English literature. This case highlights the need to consider metastatic disease in men over 40 presenting with a new testicular or spermatic cord mass and a history of malignancy.