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A 64-year-old man, who had undergone a radical retropubic prostatectomy with pelvic lymphadenectomy for presumed local confined prostate cancer, was find to have a pT3bN0M0 Gleason 5 tumor. Seven year after the operation, patient complained a painless right testicular mass. Pathologic examination, after radical orchidectomy, revealed a testicular metastasis of the primary tumor.
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Fiorello et al. (2004) studied this question.
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