title: A unique case of malignant neoplasm--choriocarcinoma in a 24-year-old man--difficulties in differential diagnostics of intracranial injuries in the aspect of medicolegal opinion
abstract: Differential diagnostics of pathologic and traumatic lesions based on image techniques may in some cases cause serious difficulties or even be the cause of a medical error resulting in incorrect medicolegal opinion. The authors present a unique case of primary malignant neoplasm of the testicle (choriocarcinoma) in a 24-year-old man. Several days after the event, he was admitted to Department of Neurology with CT-confirmed traumatic intracerebral hematoma communicating with the ventricular system. Discharged in a good general condition, the patient died several days later. A postmortem examination combined with histopathology demonstrated numerous metastases of the primary carcinoma, which also involved the brain, arousing suspicions of head injury in consequence of a crime.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Kobek
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Jankowski
authors.forename: Czesław
authors.initials: C
authors.lastname: Chowaniec
authors.forename: Christian
authors.initials: C
authors.lastname: Jabłoński
mesh_terms: D001932:Brain Neoplasms / Q000473:pathology* / Q000556:secondary*; D002423:Cause of Death; D002822:Choriocarcinoma / Q000150:complications / Q000473:pathology* / Q000556:secondary*; D006259:Craniocerebral Trauma / Q000150:complications / Q000473:pathology*; D003937:Diagnosis, Differential; D005104:Expert Testimony; D017809:Fatal Outcome; D006801:Humans; D033162:Incidental Findings; D020198:Intracranial Hemorrhage, Traumatic / Q000150:complications / Q000473:pathology*; D008297:Male; D013736:Testicular Neoplasms / Q000150:complications / Q000473:pathology*; D055815:Young Adult