Abstract
PURPOSE: This report presents a patient with testicular metastasis from an ileal carcinoid. METHODS: This was a retrospective case review with literature review. RESULTS: The patient underwent right orchiectomy for a solid mass. Pathology revealed carcinoid tumor. Octreotide scan showed increased concentration in the right lower quadrant of the abdomen. Computerized tomography results were negative. Colonoscopy with biopsy revealed carcinoid of the terminal ileum. The patient underwent an elective resection of the terminal ileum and the right colon. Pathology revealed carcinoid tumor with vascular and lymphatic invasion present, and eight lymph nodes were positive. The patient had adjuvant treatment with octreotide. CONCLUSION: Carcinoid tumors have been reported to metastasize to numerous areas. This is the first report of testicular metastasis from ileal carcinoid. Primary carcinoids of the testicle have been reported also. The clinician should be aware of this rare metastatic event. When pathology reveals carcinoid of the testicle, metastatic disease should be excluded before the tumor is identified as primary.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Peck JJ, Shields AB, Boyden AM, Dworkin LA, Nadal JW. Carcinoid tumors of the ileum. Am J Surg 1983;146:124–32.
Cunningham JD, Aleali R, Aleali M, Brower ST, Aufses AH. Malignant small bowel neoplasms: histopathologic determinants of recurrence and survival. Ann Surg 1997;225:300–6.
Grunshaw ND, Gopichandran TD. Case report: primary carcinoid tumour of the testis—ultrasound appearances. Clin Radiol 1993;47:290–1.
Terhune DW, Manson AL, Jordon GH, Peterson N, Auman JR, MacDonald GR. Pure primary testicular carcinoid: a case report and discussion. J Urol 1988;139:132–3.
Moertel CG, Sauer WG, Dockerty MB, Baggenstoss AH. Life history of the carcinoid tumor of the small intestine. Cancer 1961;14:901–12.
Burke AP, Thomas RM, Elsayed AM, Sobin LH. Carcinoids of the jejunum and ileum: an immunohistochemical and clinicopathologic study of 167 cases. Cancer 1997;79:1086–93.
Andaker L, Lamke LO, Smeds S. Follow-up of 102 patients operated on for gastrointestinal carcinoid. Acta Chir Scand 1985;151:469–73.
Kaltsas GA, Putignano P, Mukherjee JJ,et al. Carcinoid tumours presenting as breast cancer: the utility of radionuclide imaging with 123I-MIBG and 111In-DTPA pentetreotide. Clin Endocrinol (Oxf) 1998;49:685–9.
Zakariai YM, Quan SH, Hajdu SI. Carcinoid tumors of the gastrointestinal tract. Cancer 1975;35:588–91.
Kuiper DH, Gracie WA, Jr, Pollard HM. Twenty years of gastrointestinal carcinoids. Cancer 1970;25:1424–30.
Author information
Authors and Affiliations
About this article
Cite this article
Danikas, D., Sachs, R., Dressner, R.M. et al. Testicular metastasis from ileal carcinoid. Dis Colon Rectum 44, 1365–1366 (2001). https://doi.org/10.1007/BF02234798
Issue Date:
DOI: https://doi.org/10.1007/BF02234798