The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
PRIMARY CARCINOID TUMOR OF THE TESTIS WITH METASTASIS TO THE UPPER VERTEBRAE
Report of a Case
Satoru ShimuraToyoaki UchidaToshiya ShitaraKiyoshi NishimuraMasakazu MurayamaNaoyasu HondaKen Koshiba
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1991 Volume 82 Issue 7 Pages 1157-1160

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Abstract

A case of primary carcinoid tumor of the right testis with metastases to the cervical and thoracic vertebrae and epidura is reported. A 53-year-old man was first recognized as being with dysthesia of the left arm and shoulder in April 1986. In June, 1987, he was admitted to the Neurology service, complaining of sudden occurrence of abasia. Myelography and computerrized tomography demonstrated an epidural mass and several high density areas in the vertebral bodies of Th1 and Th2. The patient underwent laminectomy from C7 to Th2. At operation, the neurosurgeons noticed a tumor mass in the right scrotum and requested our consultation. Thus right high orchiectomy was performed. Pathological examination including Grimerius' and Fontana-Masson's stain revealed carcinoid tumor of the right testis associated with metastases to the spinal columm. Postoperativery, tumor maker studies revealed elavation of blood 5-hydroxytryptophan and marked increase of urinary 5-hydroxyindoleacetic acid excretion. They showed remarkable decreases after a course of PVB chemotherapy. The patient has been under our observation as an out-patient for the past 27 months with metastases.
This is the first case of primary carcinoid tumor of the testis with metastases so far reported in the domestic literture.

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