Primary carcinoid tumor of the testis with teratoma metastatic to the para-aortic lymph node.
A primary testicular carcinoid tumor with teratoma metastasized to the para-aortic lymph node. After inguinal orchiectomy, serum and urinary levels of 5-hydroxyindoleacetic acid (5-HIAA) were found to be elevated. Chemotherapy consisting of cisplatin, etoposide and bleomycin was not effective on the metastatic lesions. Retroperitoneal lymphadenectomy normalized the levels of 5-HIAA. The patient is alive without recurrence 25 months after the retroperitoneal lymphadenectomy.
Fujita
Kazuhiko
K
Division of Urology, Juntendo Izunagaoka Hospital, Shizuoka, Japan. fujita33@air.linkclub.or.jp
Wada
Ryo
R
Sakurai
Tohru
T
Sashide
Kazuhiko
K
Fujime
Makoto
M
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001012:Aorta, Abdominal; D002276:Carcinoid Tumor / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision; D008206:Lymphatic Diseases; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D013724:Teratoma / Q000175:diagnosis / Q000601:surgery*; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000601:surgery*