Favorable Long Term Outcome of Locally Advanced Adenocarcinoma Epididymis - An Extended Follow-Up: Case Report

Background: Primary epididymal adenocarcinoma (PEA) is very rare disease with only about twenty described cases in the literature. Therefore, there is no standard treatment up to date. Case presentation: We present the case of young man (34 years of age) with a locally advanced PEA treated by definitive radiotherapy to the scrotal and groin region. This patient had a complete recovery and the positive outcome continues today, ten years after radiotherapy, with relatively minor late effects including telangiectasia and fibrosis. Conclusion: The patient enjoys a very good quality of life including penile erection. The presented case describes an unusual, very positive, therapeutic response of a locally advanced carcinoma of the epididymis.