Fucs Moacyr, Romero Frederico Ramalho, Germanos de Castro Marília, de Carvalho Fernandes Roni, Camara-Lopes Luis Heraldo, Cardenuto Perez Marjo Deninson
Department of Urology, Santa Casa Medical School, Sao Paulo, Sao Paulo, Brazil.
Urology. 2005 Mar;65(3):591. doi: 10.1016/j.urology.2004.09.009.
Testicular carcinoids are very rare and account for less than 1% of all testicular neoplasms. They may present as primary testicular tumors or secondary tumors from extratesticular sources. We report a case of a secondary testicular carcinoid occurring 10 years after surgical treatment of an appendiceal carcinoid. The patient underwent radical orchiectomy and at 24 months of follow-up had no evidence of metastases elsewhere. Because secondary carcinoids have a worse clinical course and prognosis than primary tumors, metastatic disease should be excluded before the tumor is identified as a primary. Long-term follow-up is necessary for patients with carcinoid tumor owing to its indolent course and the risk of metastasis several years after treatment of the primary.
睾丸类癌非常罕见，占所有睾丸肿瘤的比例不到1%。它们可能表现为原发性睾丸肿瘤或来自睾丸外来源的继发性肿瘤。我们报告一例阑尾类癌手术治疗10年后发生的继发性睾丸类癌病例。患者接受了根治性睾丸切除术，随访24个月时未发现其他部位有转移迹象。由于继发性类癌的临床病程和预后比原发性肿瘤更差，在将肿瘤确定为原发性之前应排除转移性疾病。由于类癌病程隐匿且在原发性肿瘤治疗数年后有转移风险，因此对类癌肿瘤患者进行长期随访是必要的。
