A Rare Case of Bilateral Testicular Metastases Due to a Prostate Cancer

Testicular metastasis from prostate cancer is a rare occurrence. This case report describes a 63-year-old man with a history of metastatic prostate cancer, who presented with right-sided scrotal swelling. Sonography revealed a right hydrocele and an incidental left testicular mass, later confirmed as bilateral testicular metastases, through orchiectomy. Given the nonspecific symptoms and the rarity of testicular involvement, such cases may be overlooked without thorough diagnostic imaging. This report highlights the importance of sonography in evaluating scrotal abnormalities in prostate cancer patients, even in the absence of pain or palpable masses, to ensure timely diagnosis and management of uncommon metastatic sites.