El cáncer de testículo es el tumor sólido más común en los varones de 15 a 29 años. Puede producirse metástasis por vía hematógena o linfática a distintos órganos como pulmón e hígado (usuales) y estómago (inusual). Se presenta el caso de un varón de 30 años que cursa con hemorragia digestiva alta por dos úlceras en el cuerpo gástrico con histología de neoplasia maligna indiferenciada de células pequeñas. En las tomografías se observa tumor testicular derecho con implantes secundarios en cerebro, pulmón, hígado y bazo. Se estudia β-HCG (35 5354 mUI/ml), AFP (500 ng/mL) y DHL (1669 UI/L). Se realiza una orquiectomía radical derecha y se concluyeque es un tumor de células germinales primario de testículo derecho de estadio clínico IIIC por metástasis hepática, esplénica, pulmonar, gástrica y cerebral.
Tuberculosis is a high-incidence public health problem in Peru. In our context, Tuberculosis is seen commonly as a pulmonary infection. Extrapulmonary tuberculosis as gastric is rare, both as a primary or secondary infection, with just a few case reports published about these kinds of presentations. This case report presents a 44-year-old female patient with weight loss, dyspepsia, and abdominal pain. Upper endoscopy reveals antral polypoid masses and a gastric ulcer. Abdominal CT shows lymph nodes and stomach wall thickening. Biopsies results were negative for malignancy and positive for granulomas. Sputum acid-fast bacilli smear on microscopic examination was positive. Coexistent pulmonary, gastric tuberculosis, and human immunodeficiency virus infection mimicking gastric cancer were confirmed. We will present this case in detail below.
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