Document Detail

Testicular choriocarcinoma. An unusual presentation as occult gastrointestinal blood loss.
MedLine Citation:
PMID:  2784429     Owner:  NLM     Status:  MEDLINE    
Choriocarcinoma is the rarest testicular germ cell tumor, occurring in less than 1% of cases. Gastrointestinal bleeding is not uncommon in cases of testicular choriocarcinoma and reflects metastatic disease. Typically, the patient presents with marked upper or lower gastrointestinal tract bleeding. A young adult male with metastatic testicular choriocarcinoma presented as a near-syncopal episode, with a hematocrit of 22% and hemoccult-positive stool. Endoscopy revealed a solitary bleeding lesion along the greater curvature of the stomach. His presentation suggested chronic, rather than acute, gastrointestinal blood loss. This case may represent the first case of testicular choriocarcinoma in which chronic gastrointestinal blood loss was the presenting manifestation of metastatic disease.
E W Stokes; C Perkins
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of adolescent health care : official publication of the Society for Adolescent Medicine     Volume:  10     ISSN:  0197-0070     ISO Abbreviation:  J Adolesc Health Care     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-05-05     Completed Date:  1989-05-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8100395     Medline TA:  J Adolesc Health Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  146-50     Citation Subset:  IM    
Department of Medicine, William Beaumont Army Medical Center, El Paso, Texas 79920-5001.
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MeSH Terms
Choriocarcinoma / complications,  diagnosis*,  pathology
Diagnosis, Differential
Gastrointestinal Hemorrhage / diagnosis*,  etiology
Gastrointestinal Neoplasms / complications,  secondary*
Occult Blood*
Testicular Neoplasms / complications,  diagnosis*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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