[Primary carcinoma of the head of the epididymis].
The authors report the case of a 44-year-old man in whom a poorly differentiated primary carcinoma of the head of the epididymis was discovered incidentally. Due to the rarity of this diagnosis, a comprehensive assessment was performed looking for a primary tumour, but without success. Despite early surgical resection, the patient developed lymph-node metastases. This exceptional tumour showed low sensitivity to chemotherapy. Malignant tumours of the epididymis are exceptional and require investigations to detect a primary tumour. Treatment is based on surgical resection, ideally via an inguinal incision, combined with chemotherapy adapted to the histological type.
Thibault
F
F
Service d'urologie et de transplantation rénale et pancréatique, hôpital La Pitié-Salpêtrière, 47, boulevard de l'Hôpital, 75013 Paris, France. frederic.thibault@gmail.com
Bart
S
S
Rixe
O
O
Comperat
E
E
Renard
R
R
Chartier-Kastler
E
E
Richard
F
F
D000328:Adult; D002277:Carcinoma / Q000175:diagnosis; D004822:Epididymis; D005834:Genital Neoplasms, Male / Q000175:diagnosis; D006801:Humans; D008297:Male