A Primary Malignant Testicular Tumour With Unusual Metastases
British Journal of Clinical Practice 21(4): Apr 1967; 195-200
View Original Source →Abstract
We report a case of Kaposi’s angiosarcoma of the penis. Few cases have been reported of the initial and exclusive involvement of Kaposi’s angiosarcoma of the glans penis and prepuce. Our case is unique because of the number of lesions and the spontaneous remission.
Case Details
Clinical Characteristics
Metastatic lymph nodes high up in the right suboccipital region and in the left supraclavicular fossa, pulmonary metastases, small intestinal metastasis presenting clinically as acute intestinal obstruction
Remission Characteristics
Spontaneous retrogression of cervical and pulmonary metastases, disappearance of the residual disease in the right suboccipital region and the left supraclavicular fossa, disappearance of pulmonary metastases
Treatment & Mechanisms
Proposed Remission Mechanisms
Unknown
Clinical Treatment
Simple orchidectomy and abdominal irradiation of the relevant lymphatic fields, dissection and excision of the suboccipital node
Additional Notes
The presentation of the metastatic lymph nodes high up in the right suboccipital region and in the left supraclavicular fossa about seven months after a simple orchidectomy and abdominal irradiation of the relevant lymphatic fields is unusual. In spite of the dispersal of tumour cells in the process of dissection and excision of the suboccipital node, the wound healed per primum and the residual disease here, as well as in the left supraclavicular fossa, disappeared spontaneously without any further treatment. The pulmonary metastases which were so clearly evident on the chest x-ray film of March 28, 1962, were found to disappear spontaneously within the next few months and were no longer evident on films taken on September 10, 1963, and November 22, 1965. A small intestinal metastasis presenting clinically as acute intestinal obstruction is very rare. Spontaneous arrest or retrogression of some cancers is now generally accepted, though the factors responsible are largely unknown.