Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding

We present a case of upper gastrointestinal bleeding in an otherwise healthy 18-year-old man who presented with melena. Endoscopy revealed an ulcerated mass in the stomach and pathology confirmed this to be a malignant, poorly differentiated choriocarcinoma. Further imaging showed a left testicular...

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Detalles Bibliográficos
Autores principales: Lowe, Kirsty, Paterson, Jacqueline, Armstrong, Sharon, Walsh, Shaun, Groome, Max, Mowat, Craig
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612755/
https://www.ncbi.nlm.nih.gov/pubmed/26504875
http://dx.doi.org/10.14309/crj.2015.94
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author Lowe, Kirsty
Paterson, Jacqueline
Armstrong, Sharon
Walsh, Shaun
Groome, Max
Mowat, Craig
author_facet Lowe, Kirsty
Paterson, Jacqueline
Armstrong, Sharon
Walsh, Shaun
Groome, Max
Mowat, Craig
author_sort Lowe, Kirsty
collection PubMed
description We present a case of upper gastrointestinal bleeding in an otherwise healthy 18-year-old man who presented with melena. Endoscopy revealed an ulcerated mass in the stomach and pathology confirmed this to be a malignant, poorly differentiated choriocarcinoma. Further imaging showed a left testicular mass with evidence of pulmonary, gastric, and brain metastases, and blood tests revealed an hCG level of 32,219 U/L. He was diagnosed with advanced metastatic testicular choriocarcinoma and underwent intensive induction chemotherapy and an orchidectomy. Metastatic testicular choriocarcinoma is a rare cause of gastrointestinal bleeding.
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spelling pubmed-46127552015-10-26 Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding Lowe, Kirsty Paterson, Jacqueline Armstrong, Sharon Walsh, Shaun Groome, Max Mowat, Craig ACG Case Rep J Case Report We present a case of upper gastrointestinal bleeding in an otherwise healthy 18-year-old man who presented with melena. Endoscopy revealed an ulcerated mass in the stomach and pathology confirmed this to be a malignant, poorly differentiated choriocarcinoma. Further imaging showed a left testicular mass with evidence of pulmonary, gastric, and brain metastases, and blood tests revealed an hCG level of 32,219 U/L. He was diagnosed with advanced metastatic testicular choriocarcinoma and underwent intensive induction chemotherapy and an orchidectomy. Metastatic testicular choriocarcinoma is a rare cause of gastrointestinal bleeding. American College of Gastroenterology 2015-10-09 /pmc/articles/PMC4612755/ /pubmed/26504875 http://dx.doi.org/10.14309/crj.2015.94 Text en Copyright © Lowe et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Lowe, Kirsty
Paterson, Jacqueline
Armstrong, Sharon
Walsh, Shaun
Groome, Max
Mowat, Craig
Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding
title Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding
title_full Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding
title_fullStr Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding
title_full_unstemmed Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding
title_short Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding
title_sort metastatic testicular choriocarcinoma: a rare cause of upper gi bleeding
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612755/
https://www.ncbi.nlm.nih.gov/pubmed/26504875
http://dx.doi.org/10.14309/crj.2015.94
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AT groomemax metastatictesticularchoriocarcinomaararecauseofuppergibleeding
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