Testicular metastasis 10 years after resection of appendiceal carcinoid.
Testicular carcinoids are very rare and account for less than 1% of all testicular neoplasms. They may present as primary testicular tumors or secondary tumors from extratesticular sources. We report a case of a secondary testicular carcinoid occurring 10 years after surgical treatment of an appendiceal carcinoid. The patient underwent radical orchiectomy and at 24 months of follow-up had no evidence of metastases elsewhere. Because secondary carcinoids have a worse clinical course and prognosis than primary tumors, metastatic disease should be excluded before the tumor is identified as a primary. Long-term follow-up is necessary for patients with carcinoid tumor owing to its indolent course and the risk of metastasis several years after treatment of the primary.
Fucs
Moacyr
M
Department of Urology, Santa Casa Medical School, Sao Paulo, Sao Paulo, Brazil.
Romero
Frederico Ramalho
FR
Germanos de Castro
Marília
M
de Carvalho Fernandes
Roni
R
Camara-Lopes
Luis Heraldo
LH
Cardenuto Perez
Marjo Deninson
MD
D000368:Aged; D001063:Appendiceal Neoplasms / Q000473:pathology* / Q000601:surgery*; D002276:Carcinoid Tumor / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D008297:Male; D016609:Neoplasms, Second Primary / Q000601:surgery*; D013736:Testicular Neoplasms / Q000556:secondary* / Q000601:surgery*; D013997:Time Factors