Massive upper gastrointestinal bleeding from pure metastatic choriocarcinoma in patient with mixed germ cell tumor with subclinical intestinal metastasis

Urology
Irfan CicinMustafa Kaplan

Abstract

Although testicular germ cell tumors have become curable neoplasms, a better understanding of the clinicopathologic features is needed for the rare manifestations associated with treatment failure. We report a rare case of metastatic pure choriocarcinoma involving the small intestine arising from a testicular mixed germ cell tumor. In a patient who developed massive upper gastrointestinal hemorrhage during treatment, the intestinal metastases and focus of bleeding could only be determined by laparotomy. We propose an approach for the determination of subclinical intestinal metastases of testicular germ cell tumor; the case is discussed in light of similar reports in literature.

References

Oct 1, 1978·The American Journal of Digestive Diseases·M M ChaitS I Hajdu
May 1, 1953·Cancer·F J DIXON, R A MOORE

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Citations

Jul 23, 2013·Journal of Gastrointestinal Cancer·Salvatore LauroPaolo Marchetti
May 30, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Yasmeen KabirNancy Renee Feldman
Nov 14, 2017·Case Reports in Gastrointestinal Medicine·Oluwaseun ShogbesanAnthony Donato
Feb 6, 2021·Gastroenterología y hepatología·Clara Llopis TorremochaJosé M Ramia
May 28, 2021·Curēus·Jennifer YoonJaya Krishna Chintanaboina

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