title: Testicular metastasis 10 years after resection of appendiceal carcinoid.
abstract: 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.
authors.affiliation: Department of Urology, Santa Casa Medical School, Sao Paulo, Sao Paulo, Brazil.
authors.forename: Moacyr
authors.initials: M
authors.lastname: Fucs
authors.forename: Frederico Ramalho
authors.initials: FR
authors.lastname: Romero
authors.forename: Marília
authors.initials: M
authors.lastname: Germanos de Castro
authors.forename: Roni
authors.initials: R
authors.lastname: de Carvalho Fernandes
authors.forename: Luis Heraldo
authors.initials: LH
authors.lastname: Camara-Lopes
authors.forename: Marjo Deninson
authors.initials: MD
authors.lastname: Cardenuto Perez
mesh_terms: 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