title: Gastrointestinal hemorrhage as first manifestation of metastatic testicular tumor.
abstract: We report a case of a man with a testicular mixed germ cell tumor in whom the first symptom was severe anemia secondary to upper gastrointestinal bleeding from a metastatic pure choriocarcinoma. He underwent ileal enterectomy, radical orchiectomy, and several cycles of chemotherapy (cisplatin, etoposide, and bleomycin). He died within 41 days of diagnosis.
authors.affiliation: Department of Urology, University of Texas Southwestern Medical School, Dallas, Texas 75390-9110, USA. shahrokh.shariat@utsouthwestern.edu
authors.forename: Shahrokh F
authors.initials: SF
authors.lastname: Shariat
authors.forename: David
authors.initials: D
authors.lastname: Duchene
authors.forename: Wareef
authors.initials: W
authors.lastname: Kabbani
authors.forename: Zachary
authors.initials: Z
authors.lastname: Mucher
authors.forename: Yair
authors.initials: Y
authors.lastname: Lotan
mesh_terms: D002822:Choriocarcinoma / Q000150:complications* / Q000556:secondary*; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications* / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000150:complications* / Q000556:secondary*; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000556:secondary*