@Article{,
AUTHOR = {Marc R. Walker, Alexander J. Ernest Jr, Leah P. McMann},
TITLE = {Hydrocele: an atypical presentation of metastatic sarcomatoid renal cell carcinoma},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {18},
YEAR = {2011},
NUMBER = {3},
PAGES = {5742--5744},
URL = {http://www.techscience.com/CJU/v18n3/61935},
ISSN = {1488-5581},
ABSTRACT = {Herein is a case of a 55-year-old man who presented 
with epididymitis. He subsequently failed medical 
management for the suspected infection and progressed 
to develop an acute scrotum and sonographic fi ndings 
consistent with a pyocele. Concurrent computed 
tomography (CT), obtained for persistent abdominal 
pain, revealed a large enhancing upper pole renal mass 
suspicious for malignancy. He was taken for emergent 
scrotal exploration to drain the presumptive pyocele. 
However, during scrotal exploration, no purulence or 
evidence of infection was seen. Although, seemingly 
unrelated to the renal mass, the thickened hydrocele sac 
was excised and sent as a specimen. Pathology of the 
sac revealed a diagnosis of metastatic sarcomatoid renal 
cell carcinoma. Appropriate chemotherapy was initiated 
based on the scrotal pathology, circumventing the need 
for a CT directed retroperitoneal lymph node biopsy or 
nephrectomy.},
DOI = {}
}