Testicular metastasis from ileal carcinoid: report of a case.
OBJECTIVE
This report presents a patient with testicular metastasis from an ileal carcinoid.


METHODS
This was a retrospective case review with literature review.


RESULTS
The patient underwent right orchiectomy for a solid mass. Pathology revealed carcinoid tumor. Octreotide scan showed increased concentration in the right lower quadrant of the abdomen. Computerized tomography results were negative. Colonoscopy with biopsy revealed carcinoid of the terminal ileum. The patient underwent an elective resection of the terminal ileum and the right colon. Pathology revealed carcinoid tumor with vascular and lymphatic invasion present, and eight lymph nodes were positive. The patient had adjuvant treatment with octreotide.


CONCLUSIONS
Carcinoid tumors have been reported to metastasize to numerous areas. This is the first report of testicular metastasis from ileal carcinoid. Primary carcinoids of the testicle have been reported also. The clinician should be aware of this rare metastatic event. When pathology reveals carcinoid of the testicle, metastatic disease should be excluded before the tumor is identified as primary.
Danikas
D
D
Department of Surgery, Monmouth Medical Center, Long Branch, New Jersey, USA.
Sachs
R
R
Dressner
R M
RM
Arvanitis
M L
ML
D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage; D001706:Biopsy; D002276:Carcinoid Tumor / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007078:Ileal Neoplasms / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015282:Octreotide / Q000008:administration & dosage; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000556:secondary* / Q000601:surgery
D018931:Antineoplastic Agents, Hormonal; D015282:Octreotide