title: Intestinal hemorrhages in patients with a nonseminomatous testicular tumor.
abstract: This article reports on three patients with intestinal bleeding due to metastases from a nonseminomatous testicular tumor (NSTT) to the gastrointestinal tract. Involvement of the gastrointestinal tract is rare. The mode of spread is either by hematogenous dissemination or by direct extension from involved paraaortic lymph nodes. The symptoms of these patients are briefly described. Early recognition and efficient supportive care are essential in the management of such patients.
authors.affiliation: Department of Surgical Oncology, Groningen University Hospital, The Netherlands.
authors.forename: J T
authors.initials: JT
authors.lastname: Plukker
authors.forename: H
authors.initials: H
authors.lastname: Schraffordt Koops
authors.forename: D T
authors.initials: DT
authors.lastname: Sleijfer
authors.forename: J W
authors.initials: JW
authors.lastname: Oosterhuis
authors.forename: E
authors.initials: E
authors.lastname: van der Jagt
mesh_terms: D000328:Adult; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D005770:Gastrointestinal Neoplasms / Q000150:complications* / Q000556:secondary*; D006801:Humans; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000150:complications* / Q000556:secondary*; D013736:Testicular Neoplasms / Q000473:pathology*