An Elusive Etiology of Upper Gastrointestinal Bleeding in a Young Man

Köksal, Aydın Şeref; Kayaçeti̇n, Ertuğrul; Torun, Serkan; Güneş, Zeki; Zengın, Neslihan

doi:10.1097/sle.0b013e31828e375c

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The first hypothesis suggests that metastases may occur via the lymph drainage duct to the testis and epididymis. Gastric metastases have also been reported to originate from testicular cancer, probably via invasion of the stomach by testicular cancer through lymphatic ducts[ 13 - 15 ]. It is reported that testicular and gastric cancers have overlapping lymphatic metastasis pathways[ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Testis and epididymis–unusual sites of metastatic gastric cancer: A case report and review of the literature

Ji¹,

Guan²,

Yao³

et al. 2022

World J Clin Cases

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BACKGROUND Although gastric cancer is one of the most prevalent cancers worldwide, cases of gastric cancer metastasis to the male reproductive system are rare. Here, we report a case involving testicular and epididymal gastric cancer metastases. CASE SUMMARY A 75-year-old Chinese man complained of experiencing a palpable painful mass in the right scrotum for 6 mo. He had undergone distal gastrectomy with chemotherapy for pT3N3aMx poorly differentiated gastric adenocarcinoma 9 mo before. Physical examination revealed a moderate right hydrocele and a painful mass in the right testis and epididymis. Serum tumor biomarkers were all normal except for elevated beta-human chorionic gonadotropin levels. Computed tomography urography and B-ultrasound imaging revealed a moderate right hydrocele and a mixed solid-cystic mass in the right testicular and epididymal area. Thus, the patient underwent right radical orchiectomy. Immunohistochemical analysis revealed that the tumor cells were positive for pancytokeratins and caudal related homeodomain transcription 2. Metastatic, poorly differentiated gastric adenocarcinoma of the testis and epididymis was confirmed by pathology. He continued to undergo chemotherapy at the department of oncology of our hospital. Mesenteric lymph node metastases were found at the postoperative 1-mo follow-up. CONCLUSION Palpable, painful scrotal mass, history of gastric cancer, and imaging features may indicate testicular and epididymal metastatic gastric cancer.

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Section: Discussionmentioning

confidence: 99%

Testis and epididymis–unusual sites of metastatic gastric cancer: A case report and review of the literature

Ji¹,

Guan²,

Yao³

et al. 2022

World J Clin Cases

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“…Melanoma, renal, mammary, bronchopulmonary, gastric or testicular neoplasia[ 4 ] represent the most frequent metastatic tumours at the level of the small bowel, and particularly at the level of the duodenum. However, in young men, a testicular origin is to be favoured due to the preferential epidemiology of these cancers in this population group[ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Real case of primitive embryonal duodenal carcinoma in a young man

Barbieux¹,

Méméo²,

Blasi³

et al. 2017

WJG

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We report here the case of a young man suffering from a rare germ cell tumour. The patient was a 25-year-old man who was referred to our centre for asthenia, stinging epigastric pain, and an iron deficiency anaemia. Gastroscopy revealed a circumferential vegetating lesion on the second portion of the duodenum. The lesion was indurated at the third portion of the duodenum, responsible for a tight stenosis. A computerized tomography-scan of the chest, abdomen and pelvis, and a pancreatic MRI showed a circumferential lesion with a bi-ductal dilatation (i.e., of the common bile duct and Wirsung’s duct) without metastatic localisation. The patient underwent a pancreaticoduodenectomy with lymph node dissection including all cellular adipose tissues of the hepatic pedicle from the hepatic common artery and of the retroportal lamina. Histological findings were suggestive of a duodenal embryonal carcinoma with pancreatic infiltration. This is the second published case highlighting the duodenal primitive localisation of an embryonal carcinoma with pancreatic infiltration.

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An Elusive Etiology of Upper Gastrointestinal Bleeding in a Young Man

Cited by 2 publications

References 13 publications

Testis and epididymis–unusual sites of metastatic gastric cancer: A case report and review of the literature

Testis and epididymis–unusual sites of metastatic gastric cancer: A case report and review of the literature

Real case of primitive embryonal duodenal carcinoma in a young man

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