转移性睾丸绒毛膜癌：上消化道出血的罕见原因。
Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding.
作者信息
Lowe Kirsty, Paterson Jacqueline, Armstrong Sharon, Walsh Shaun, Groome Max, Mowat Craig
机构信息
Department of Gastroenterology, NHS Tayside, Dundee, United Kingdom.
Department of Oncology, NHS Tayside, Dundee, United Kingdom.
出版信息
ACG Case Rep J. 2015 Oct 9;3(1):36-8. doi: 10.14309/crj.2015.94. eCollection 2015 Oct.
Abstract
We present a case of upper gastrointestinal bleeding in an otherwise healthy 18-year-old man who presented with melena. Endoscopy revealed an ulcerated mass in the stomach and pathology confirmed this to be a malignant, poorly differentiated choriocarcinoma. Further imaging showed a left testicular mass with evidence of pulmonary, gastric, and brain metastases, and blood tests revealed an hCG level of 32,219 U/L. He was diagnosed with advanced metastatic testicular choriocarcinoma and underwent intensive induction chemotherapy and an orchidectomy. Metastatic testicular choriocarcinoma is a rare cause of gastrointestinal bleeding.
摘要
我们报告一例18岁身体健康的男性上消化道出血病例，该患者表现为黑便。内镜检查发现胃内有一个溃疡肿物，病理证实为恶性、低分化绒毛膜癌。进一步影像学检查显示左侧睾丸肿物，并伴有肺、胃和脑转移的证据，血液检查显示人绒毛膜促性腺激素（hCG）水平为32219 U/L。他被诊断为晚期转移性睾丸绒毛膜癌，并接受了强化诱导化疗和睾丸切除术。转移性睾丸绒毛膜癌是上消化道出血的罕见原因。
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