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Primary adenocarcinoma of the epididymis: the therapeutic role of retroperitoneal lymphadenectomy

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STANÍK Michal DOLEŽEL Jan MACÍK Daniel KRPENSKÝ Antonín LAKOMÝ Radek

Rok publikování 2012
Druh Článek v odborném periodiku
Časopis / Zdroj INTERNATIONAL UROLOGY AND NEPHROLOGY
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.1007/s11255-012-0149-5
Obor Onkologie a hematologie
Klíčová slova Adenocarcinoma; Epididymis; Therapy; Retroperitoneal lymphadenectomy
Popis This case report describes a rare case of adenocarcinoma of the epididymis and the role of locoregional surgery in the therapeutic algorithm. We report a case of primary adenocarcinoma of the epididymis in a 61-year-old man who was primarily examined for nodular enlargement of the head of the epididymis. Retroperitoneal lymphadenectomy which the patient underwent after radical orchiectomy revealed lymph node metastases, subsequently he received adjuvant chemotherapy. The patient remains free of disease for 20 months after surgery. Primary adenocarcinoma of epididymis is a rare finding with an unfavorable prognosis in higher stages as it responds poorly to radiotherapy and chemotherapy. Our case report confirms the importance of retroperitoneal lymphadenectomy in patients with local or locoregional disease. It may be curative even in case of proven lymphadenopathy and should be performed in all patients without distant metastases.

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