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VOLUME 3 , ISSUE 1 ( January-June, 2019 ) > List of Articles

CASE REPORT

Gastrointestinal Hemorrhage due to Metastatic Choriocarcinoma

Ayesha J Khan, Gopal S Bhargawa, Manu Kohli, Kulwant S Ded

Keywords : Germ-cell tumors, Metastatic choriocarcinoma,Gastrointestinal hemorrhage

Citation Information : Khan AJ, Bhargawa GS, Kohli M, Ded KS. Gastrointestinal Hemorrhage due to Metastatic Choriocarcinoma. Curr Trends Diagn Treat 2019; 3 (1):37-38.

DOI: 10.5005/jp-journals-10055-0061

License: CC BY-NC 4.0

Published Online: 00-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Testicular germ-cell tumors represent approximately 1% of all cancers in man and are the most common malignancy between 15- and 35-year olds. Choriocarcinoma represents less then 1% of testicular tumors. Metastatic choriocarcinoma is a rare nonseminomatous germ-cell tumor with a characteristic hemorrhagic tendency due to its trophoblastic origin. The main characteristic of these tumors is that they metastasize to retroperitoneal lymph nodes, less frequently, to lungs, liver, and brain in 80% of the cases. Metastasis to gastrointestinal tract is extremely rare, around 5%. We report a case of 39-year-old man with no significant medical or surgical history was admitted with complaints of melaena and was diagnosed by the presence of metastatic lesions in the jejunum and ileum during laparotomy and left high-end orchidectomy was done. The patient could not survive because of grave prognosis. This is probably due to choriocarcinoma on histological findings. In conclusion, the case of gastrointestinal hemorrhage, a pan endoscopic examination, and histologic evaluation should be carried out to identify metastatic lesions and provide potential endoscopic therapy.


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