title: Upper gastrointestinal hemorrhage as a rare extragonadal presentation of seminoma of testis.
abstract: A rare case of a gastric presentation of a seminoma with burned out primary testicular tumor is described. The patient initially presented with upper gastrointestinal hemorrhage. Endoscopic biopsies were suggestive of seminoma, and testicular ultrasound revealed a focal lesion and testicular microcalcification. Treatment consisted of bilateral orchidectomy, followed by four cycles of etoposide and bleomycin, where a complete response was achieved. Testicular histology was consistent with the "burned out" phenomenon and no tumor cells were found. There are only two previously reported cases of extragonadal seminoma in the stomach.
authors: Department of Urology, Queen Elizabeth Hospital, University Hospital Birmingham NHS Trust, Birmingham, UK. yamamoto@doctors.org.uk
authors: Hidekazu
authors: H
authors: Yamamoto
authors: Nayneeta
authors: N
authors: Deshmukh
authors: David
authors: D
authors: Gourevitch
authors: Phillipe
authors: P
authors: Taniere
authors: Michael
authors: M
authors: Wallace
authors: Michael H
authors: MH
authors: Cullen
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D018239:Seminoma / Q000150:complications* / Q000175:diagnosis / Q000556:secondary; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000556:secondary; D013736:Testicular Neoplasms / Q000473:pathology*