Metastatic carcinoma to the testicular, epididymis, and their tunics is unusual and adenocarcinoma of the small bowel is extremely rare. The combination of primary adenocarcinoma of the jejunum with metastasis to the tunica vaginalis of the testis has not been reported previously. An unusual case of a sacral mass in a twenty-seven-year-old black man is presented and the literature reviewed.
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