以十二指肠穿孔为表现的睾丸精原细胞瘤：一例报告
Testicular seminoma presenting with duodenal perforation: a case report.
作者信息
Miocinovic Ranko, Abaza Ronney
机构信息
Department of Urology, University of Toledo Medical Center, Toledo, OH, USA.
出版信息
J Med Case Rep. 2008 Sep 9;2:294. doi: 10.1186/1752-1947-2-294.
INTRODUCTION
Testicular neoplasms metastasizing to the retroperitoneum rarely involve the upper gastrointestinal tract. Gastrointestinal tract metastases usually present with complications including intestinal obstruction, gastrointestinal hemorrhage, and rarely ulceration of the bowel mucosa.
CASE PRESENTATION
We describe an unusual case of duodenal perforation as the presenting manifestation of metastatic classic type seminoma in a 45-year-old man.
CONCLUSION
Germ cell tumor diagnosis should be considered when an ulcerating small bowel mass is identified in a young man.
引言
转移至腹膜后的睾丸肿瘤很少累及上消化道。胃肠道转移通常伴有肠梗阻、胃肠道出血等并发症，肠黏膜溃疡则较为罕见。
病例报告
我们描述了一例罕见病例，一名45岁男性转移性经典型精原细胞瘤以十二指肠穿孔为首发表现。
结论
当在年轻男性中发现溃疡性小肠肿物时，应考虑生殖细胞肿瘤的诊断。
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