Primary carcinoid of the testis with metastases

A case of pure carcinoid of the testis is reported. The patient presented with metastatic carcinoid and the carcinoid syndrome 17 years after removal of the primary tumor. He died 2 years later. The long interval from initial orchiectomy to presentation with metastases strongly suggests that the original lesion was primary rather than metastatic. Only 2 cases have been reported to date in which an apparently pure primary testicular carcinoid developed metastases. In both of these cases the possibility that the testicular lesion itself was metastatic was not excluded.