title: Testicular choriocarcinoma with gastric metastasis presenting as hematemesis.
abstract: We report a 28-year-old man who presented with hematemesis due to choricarcinoma of testis metastatic to the stomach. Gastroscopy showed a polypoidal lesion. Testicular wedge biopsy confirmed mixed germ cell tumor, the choriocarcinomatous portion alone getting metastasized to the stomach. He was initiated on chemotherapy with actinomycin-D, etoposide and methotrexate, but died due to multiple metastases to the lung and brain.
authors.affiliation: Department of Gastroenterology, Medical College Hospital, Kozhikode - 673 008, Kerala, India. harikumnair@yahoo.co.in
authors.forename: R
authors.initials: R
authors.lastname: Harikumar
authors.forename: K
authors.initials: K
authors.lastname: Harish
authors.forename: K P
authors.initials: KP
authors.lastname: Aravindan
authors.forename: Varghese
authors.initials: V
authors.lastname: Thomas
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000556:secondary; D002822:Choriocarcinoma / Q000188:drug therapy / Q000556:secondary*; D017809:Fatal Outcome; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D008297:Male; D013274:Stomach Neoplasms / Q000150:complications* / Q000556:secondary*; D013736:Testicular Neoplasms / Q000188:drug therapy / Q000473:pathology*