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Metastatic appendiceal adenocarcinoma presenting late as epididymo-orchitis: a case report and review of literature

Shashank Kulkarni1, Andrew Coup2, John B Kershaw2 and Noor PN Buchholz3*

Author Affiliations

1 Dept. of Urology, United Lincolnshire Hospitals, Lincoln/ UK

2 Dept. of Pathology, United Lincolnshire Hospitals, Lincoln/ UK

3 Dept. of Urology, St. Bartholomew's & The Royal London Hospitals, London/ UK

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BMC Urology 2004, 4:1  doi:10.1186/1471-2490-4-1

Published: 4 March 2004



Whereas testicular metastases are in themselves a rare entity, testicular secondaries from an appendiceal carcinoma have not yet been described. The case also illustrates the diagnostic dilemma of a tumour presenting as epididymo-orchitis.

Case presentation

The authors present a case of an appendiceal carcinoma that, two years after radical therapy, manifested as a secondary in the testis. It was misdiagnosed as an epididymo-orchitis and was only revealed through histology.


Practitioners need to remember that long-standing testicular inflammation may result form secondary tumours. Even "exotic" primary tumours in the medical history of the patient must give rise to an increased suspicion threshold.