[Metastazation into the seminal vesicles due to primary goblet cell carcinoid of the vermiform appendix. An unusual diagnostic procedure of a seminal vesicle tumor].
We report on a remarkable diagnostic work up of suspect rectal palpation results in a 54-year-old patient. According to a transrectal ultrasound-guided punch biopsy the patient was suspected of having a carcinoma of the seminal vesicles and an aggressive operational approach was considered. After a median laparotomy a generalized peritoneal carcinomatosis was found. A goblet cell carcinoid of the vermiform appendix was identified as the primary tumor. This case report deals with metastazation of a primary goblet cell carcinoma into the seminal vesicles on both sides as an extremely rare reason for suspicious rectal palpation results. The tumor valency, diagnostic work up, therapy and further differential diagnoses are described.
Gramann
T
T
Urologische Klinik, Kantonsspital, Winterthur, Schweiz. tobiasgramann@gmx.net
Matter
L
L
Pfofe
D
D
Flury
R
R
Jaeger
P
P
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D001062:Appendectomy; D001063:Appendiceal Neoplasms / Q000473:pathology* / Q000601:surgery; D001065:Appendix / Q000473:pathology; D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D002276:Carcinoid Tumor / Q000473:pathology* / Q000556:secondary* / Q000601:surgery; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D051517:Digital Rectal Examination; D005472:Fluorouracil / Q000008:administration & dosage / Q000009:adverse effects; D005834:Genital Neoplasms, Male / Q000473:pathology* / Q000556:secondary* / Q000601:surgery; D006801:Humans; D002955:Leucovorin / Q000008:administration & dosage / Q000009:adverse effects; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009944:Organoplatinum Compounds / Q000008:administration & dosage / Q000009:adverse effects; D010166:Palliative Care; D010348:Patient Care Team; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000556:secondary; D012669:Seminal Vesicles / Q000473:pathology* / Q000601:surgery; D016708:Synaptophysin / Q000032:analysis
D014408:Biomarkers, Tumor; D009944:Organoplatinum Compounds; D016708:Synaptophysin; D002955:Leucovorin; D005472:Fluorouracil
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