J 2012

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

STANÍK, Michal, Jan DOLEŽEL, Daniel MACÍK, Antonín KRPENSKÝ, Radek LAKOMÝ et. al.

Basic information

Original name

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

Authors

STANÍK, Michal, Jan DOLEŽEL, Daniel MACÍK, Antonín KRPENSKÝ and Radek LAKOMÝ

Edition

INTERNATIONAL UROLOGY AND NEPHROLOGY, DORDRECHT, SPRINGER, 2012, 0301-1623

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 1.325

Organization unit

Faculty of Medicine

DOI

UT WoS

000306683200009

Keywords in English

Adenocarcinoma; Epididymis; Therapy; Retroperitoneal lymphadenectomy

Tags

International impact, Reviewed
Změněno: 23/4/2014 14:26, Soňa Böhmová

Abstract

V originále

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.