Testicular metastasis of primary cecal carcinoid tumor.
Testicular carcinoids are rare and the majority are of primary testicular origin. Testicular carcinoids can also be secondary from extra-testicular primary tumors, but the incidence is even less common. The case described here is a patient who initially had an infiltrating cecal carcinoid with hepatic metastasis. Following surgery, he was managed with octreotide and had close monitoring of the levels of serum serotonin and its urinary metabolite. He experienced a fairly indolent clinical course and 5 years after excision of the primary cecal carcinoid, his hepatic lesion has virtually been unchanged. However, he developed a secondary testicular metastasis. He has otherwise remained well, without evidence of metastases elsewhere on imaging studies.
Xiao
Guang Qian
GQ
Departments of Pathology, Urology, and Medicine, Mount Sinai School of Medicine, New York, NY, USA.
Birns
Douglas R
DR
Warner
Richard R P
RR
Selleck
William
W
Unger
Pamela D
PD
D000328:Adult; D002276:Carcinoid Tumor / Q000473:pathology* / Q000556:secondary* / Q000601:surgery; D002430:Cecal Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000473:pathology* / Q000556:secondary* / Q000601:surgery