Coffee grounds emesis: rare presentation of testicular cancer treated with neoadjuvant chemotherapy.
Fewer than 5% of patients with metastatic testicular cancer present with gastrointestinal involvement. Even rarer is testicular metastasis to the duodenum. We present the case of a previously healthy 26-year-old man who had symptomatic gastrointestinal bleeding caused by metastatic testicular cancer. He was treated with orchiectomy, cisplatin-based neoadjuvant chemotherapy, and finally, resection of the residual retroperitoneal mass. We believe that neoadjuvant chemotherapy, followed by surgical debulking, is the appropriate therapeutic sequence when treating an otherwise stable patient with metastatic testicular tumor involving the gastrointestinal tract.
Department of General Surgery, Mayo Clinic, Rochester, Minnesota 55901, USA.
Jess L
JL
Thompson
Michael L
ML
Blute
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use*; D001761:Bleomycin / Q000008:administration & dosage; D018236:Carcinoma, Embryonal / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D004379:Duodenal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D005047:Etoposide / Q000008:administration & dosage; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D008297:Male; D020360:Neoadjuvant Therapy; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery
D001761:Bleomycin; D005047:Etoposide; D002945:Cisplatin