title: Small cell carcinoma of epididymis: multimodal therapy.
abstract: Extrapulmonary small cell carcinoma is an infrequent tumor that can occur in various organs. Although a few sporadic reports about extrapulmonary small cell carcinoma have been published, much remains to be uncovered about the clinical features, optimal treatment, and natural history. We present a case of small cell carcinoma of the epididymis with retroperitoneal recurrence, an exceedingly rare tumor with behavior and treatment not well characterized. Multimodal therapy with chemotherapy and retroperitoneal lymph node dissection was necessary to manage this aggressive disease.
authors.affiliation: James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. guilolima@terra.com.br
authors.forename: Guilherme C
authors.initials: GC
authors.lastname: Lima
authors.forename: Ioannis M
authors.initials: IM
authors.lastname: Varkarakis
authors.forename: Mohamad E
authors.initials: ME
authors.lastname: Allaf
authors.forename: Samson W
authors.initials: SW
authors.lastname: Fine
authors.forename: Louis R
authors.initials: LR
authors.lastname: Kavoussi
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D018288:Carcinoma, Small Cell / Q000188:drug therapy* / Q000601:surgery*; D003131:Combined Modality Therapy; D004822:Epididymis; D005834:Genital Neoplasms, Male / Q000188:drug therapy* / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D012186:Retroperitoneal Neoplasms / Q000556:secondary* / Q000601:surgery*