Metastatic primary testicular carcinoid tumor managed with radical orchiectomy, retroperitoneal lymph node dissection and inferior vena cava excision: Case report

Abstract

Metastatic primary testicular carcinoid tumor remains a very rare condition. We report the first case of metastatic primary testicular carcinoid tumor where along retroperitoneal lymph node dissection excision of the Inferior Vena Cava was also performed. The rarity is further emphasised by the presence of a contralateral testicular dermoid cyst. Given the features of the tumor were not in keeping with the traditional predictors of metastases (primary tumor >7.3 cm, poor differentiation and the presence of carcinoid syndrome) this case adds valuable addition to the relatively limited literature available on this rare condition.

Inferior vena cava-syndrome

“…Malignant IVCS was described in patients with renal carcinomas, adrenal carcinomas, pheochromocytomas, pancreatic carcinomas, hepatocellular carcinomas, ovarian carcinomas, cervical carcinomas, prostatic cancer, gastric cancer, retroperitoneal sarcomas, metastatic malignant disease involving the pelvic and retroperitoneal lymph nodes, and primary lymphomas [11,12,[27][28][29][30][31][32]. Rarely, primary tumors of the IVC like endotheliomas and leiomyosarcomas were found [33,34].…”