title: Metastatic appendiceal adenocarcinoma presenting late as epididymo-orchitis: a case report and review of literature.
abstract: BACKGROUND
  Whereas testicular metastases are in themselves a rare entity, testicular secondaries from an appendiceal carcinoma have not yet been described. The case also illustrates the diagnostic dilemma of a tumour presenting as epididymo-orchitis.
  
  
  METHODS
  The authors present a case of an appendiceal carcinoma that, two years after radical therapy, manifested as a secondary in the testis. It was misdiagnosed as an epididymo-orchitis and was only revealed through histology.
  
  
  CONCLUSIONS
  Practitioners need to remember that long-standing testicular inflammation may result form secondary tumours. Even "exotic" primary tumours in the medical history of the patient must give rise to an increased suspicion threshold.
authors.affiliation: Dept. of Urology, United Lincolnshire Hospitals, Lincoln/UK. shashank_kulkarni@hotmail.com
authors.forename: Shashank
authors.initials: S
authors.lastname: Kulkarni
authors.forename: Andrew
authors.initials: A
authors.lastname: Coup
authors.forename: John B
authors.initials: JB
authors.lastname: Kershaw
authors.forename: Noor P N
authors.initials: NP
authors.lastname: Buchholz
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis / Q000556:secondary*; D000368:Aged; D001063:Appendiceal Neoplasms / Q000473:pathology*; D003951:Diagnostic Errors; D004823:Epididymitis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009920:Orchitis / Q000175:diagnosis*; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000556:secondary*