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Establishment and Characterization of Small Bowel Neuroendocrine Tumor Spheroids
Published on: October 14, 2019
[Seminoma metastasis in the small bowel]
Ditte Marie Lund1, Mikkel Fode, Ingegerd Balslev
1Urologisk Afdeling, Roskilde Sygehus, Køgevej 7-13, 4000 Roskilde, Denmark. lunddm@gmail.com
Ugeskrift for Laeger
|March 7, 2013
Summary
Pure seminoma, a rare testicular cancer, can metastasize to the small bowel, presenting with gastrointestinal symptoms. This case highlights a delayed diagnosis of testicular seminoma due to initial presentation as a bowel metastasis.
Area of Science:
- Oncology
- Gastroenterology
- Pathology
Background:
- Testicular germ-cell tumours comprise 95% of testicular cancers, categorized as non-seminoma and pure seminoma.
- Gastrointestinal metastasis from testicular cancer is rare (<5%), with pure seminoma having an incidence of <1%.
Observation:
- A 67-year-old man presented with gastrointestinal complaints, initially masking a testicular tumour.
- The first detected sign of testicular cancer was a small bowel metastasis, identified after surgical resection.
Findings:
- Histological examination of the resected small bowel tumour confirmed metastasis from a pure seminoma.
- A palpable testicular mass was noted only after the gastrointestinal metastasis had been diagnosed and treated.
Implications:
- This case underscores the importance of considering rare metastatic presentations of testicular cancer, even with initial gastrointestinal symptoms.
- It highlights diagnostic challenges and the potential for delayed identification of primary testicular tumours when metastasis is the initial clinical manifestation.
