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Ipsilateral right testicular metastasis from renal cell carcinoma in a responder patient to interleukine-2 treatment. | LitMetric

Ipsilateral right testicular metastasis from renal cell carcinoma in a responder patient to interleukine-2 treatment.

Int J Urol

UOC di Oncologia Medica, Ospedale Unico Versilia, Via Aurelia 335, Lido di Camaiore 55043, Lucca, Italy.

Published: March 2007

AI Article Synopsis

Article Abstract

We present a case of metastatic spreading to the testicle in a 46-year-old patient with renal cell carcinoma, "clear-cell" type, during interleukin-2 combined subcutaneous plus aerosol treatment. Testicular metastasis occurred while the patient showed a response to the treatment with disappearance of lung lesions and reduction of lymph-nodes lesions. After orchiectomy with spermatic cord resection and disease re-evaluation confirming the previous response, the patient re-started immunotherapy. The contrast between systemic disease response to treatment and disease testicular progression might be explained by a relative insensitivity of the testicle to interleukin-2 immunotherapy as a result of a possible establishment of an immunosuppressive microenvironment. We believe that the rarity of this metastatic site and the intriguing possible mechanisms at its base, makes an interesting case for clinicians.

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Source
http://dx.doi.org/10.1111/j.1442-2042.2007.01674.xDOI Listing

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