Brain Metastasis of a Primary Testicular Pure Choriocarcinoma Presenting with Frontal Lobe Hemorrhage

Abstract

We present the case of a 21-year-old male patient who was diagnosed with metastatic brain choriocarcinoma after presenting with a spontaneous cerebral hemorrhage. The treatment performed for this patient was an open surgery with full excision of the lesion. It is known that this kind of tumor is usually found in women, with low incidence in men. With this information as a baseline, we found multiple pulmonary metastases and a primary pure choriocarcinoma in his testicle.

A case report of testicular choriocarcinoma complicated with pneumothorax

“…tumoral infiltration of the wall of a preexisting benign cavity and rupture into the pleural space. [11,12] It is believed that this case is significant as choriocarcinoma is a germ cell tumour that usually affects pregnant women and uncommonly occurs in men [13]. However, this study has reported a male case choriocarcinoma.…”

“…When this kind of tumour is diagnosed early, it responds well to chemotherapy. However, we must know that one of the most critical features of choriocarcinoma as an aggressive malignancy is its late diagnosis because its symptoms are mostly caused by metastatic lesions [13]. Therefore, it is utterly remarkable to know even the rarest manifestations of this tumour, to save the patient's life.…”