Testicular choriocarcinoma with gastric metastasis presenting as hematemesis.
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.
Harikumar
R
R
Department of Gastroenterology, Medical College Hospital, Kozhikode - 673 008, Kerala, India. harikumnair@yahoo.co.in
Harish
K
K
Aravindan
K P
KP
Thomas
Varghese
V
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*