The Case of the Missed Physical Examination: Testicular Carcinoma Presenting  As a GI Bleed

Kabir, Yasmeen; Kleynberg, Roman Leonid; Rotblatt, Michael; Miller, Jeffrey M.; Feldman, Nancy

doi:10.1200/jco.2012.45.2680

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“…Testicular carcinoma most commonly presents as a painless testicular mass. However, approximately 20% to 40% of patients with primary testicular cancer present with pain, swelling, hardness of the testicle, or a combination of these symptoms [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Chemotherapy Used to Halt Lower GI Bleeding in a Rare Case of Metastatic Choriocarcinoma to the GI Tract

Kamel

Seoud

Teniola

et al. 2016

Case Reports in Oncological Medicine

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Choriocarcinoma, a nonseminomatous germ cell tumor, is a rare type of testicular malignancy that tends to occur in young males. It is, however, exceedingly rare for choriocarcinoma to involve the GI tract. In this article, we present a rare case of a 31-year-old male, diagnosed with choriocarcinoma of the left testes, along with several metastases to distant sites. The patient presented with headaches and severe lower GI bleeding due to metastases to the GI tract, which was eventually controlled with systemic chemotherapy, while requiring several units of packed RBCs during his admission to the hospital. An extensive literature review found very few cases of the occurrence of GI bleeding as a consequence of choriocarcinoma due to metastases to the GI tract.

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Section: Introductionmentioning

confidence: 99%