Bilateral testicular metastases in malignant melanoma

Abstract

Ultrasound is the imaging modality of choice in the delineation of scrotal pathology and readily differentiates testicular from extratesticular disease. Primary testicular malignancy is widely recognized; metastatic disease within the testes is a relatively unusual occurrence arising most frequently in patients with lymphoma or disseminated prostate or bronchial cancer. Testicular metastases secondary to malignant melanoma is a particularly rare finding, which is invariably confined to postmortem examinations. We present the ultrasonic appearances of a rare case of malignant melanoma with bilateral testicular metastases which arose during the course of the illness.