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. 2014 Mar;8(3-4):E245-8.
doi: 10.5489/cuaj.383.

Primary testicular carcinoid tumour with mature teratoma in undescended testis metastatic to lymph nodes

Jae Heon Kim  1 , Tae Il Noh  2 , Ji Sung Shim  2 , Byeong Kuk Ham  2 , Hoon Choi  2 , Jae Hyun Bae  2 , Jae Young Park  2
Affiliations

Primary testicular carcinoid tumour with mature teratoma in undescended testis metastatic to lymph nodes

Jae Heon Kim et al. Can Urol Assoc J. 2014 Mar.

Abstract

We report a case of primary testicular carcinoid tumour with mature teratoma metastatic to the para-aortic lymph node and the lymph node around the left gonadal vein, which was treated with radical orchiectomy, bleomycin, etoposide, and cisplatin chemotherapy, and modified retroperitoneal lymph node dissection. Three days after modified retroperitoneal lymph node dissection, bleomycin induced pneumonitis occurred, which was resolved with steroid administration. The patient is alive without recurrence 31 months after radical orchiectomy.

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Figures

Fig. 1.
Fig. 1.
(A) Well defined heterogeneous enhancing left intratesticular mass (white arrow) with internal tiny calcifications in the inguinal area, (B) enlarged lymph node at the para-aortic area (white arrow), and (C) enlarged lymph node with a size of 1.5 cm (white arrow) at the anterior aspect of the left psoas muscle.
Fig. 2.
Fig. 2.
(A) Macroscopic appearance of the testicular carcinoid tumor. (B) Microscopic appearance of the testicular carcinoid tumor with typical rosette formation (white arrow) and mature teratoma (black arrow) (hematoxylin and eosin stain × 100).
Fig. 3.
Fig. 3.
Positron emission tomography showed the enlarged lymph nodes in the paraaortic and the psoas muscle area with mild to moderate hypermetabolism (black arrow).
Fig. 4.
Fig. 4.
(A) Macroscopic apperance of the metastatic para-aortic lymph node. (B) Microscopic appreance of the metastatic carcinoid tumor with typical rosette formation without teratoma component (hematoxylin and eosin stain × 100).
Fig. 5.
Fig. 5.
No recurrence or residual metastatic tumor in follow-up computed tomography.
See this image and copyright information in PMC

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