Shogbesan Oluwaseun, Abdulkareem Abdullateef, Jehangir Asad, Byreddy Sunila, Swierczynski Sharon, Donato Anthony
Department of Internal Medicine, Reading Health System, Sixth Avenue and Spruce Street, West Reading, PA 19611, USA.
Hospitalist Services, Reading Health System, Sixth Avenue and Spruce Street, West Reading, PA 19611, USA.
Case Rep Gastrointest Med. 2017;2017:4789259. doi: 10.1155/2017/4789259. Epub 2017 Oct 10.
Testicular germ cell tumors (GCT) are the commonest solid tumors in young men. Typical presentation is with painless scrotal swelling; however, symptoms related to complications or metastasis may be the initial presentation. Gastrointestinal (GI) metastasis is seen in about 5% of patients with germ cell tumors and presentation is commonly with GI bleed. It is important to have GCT as a differential diagnosis of GI bleed in young men presenting with unexplained anemia as direct questioning about scrotal swelling and genital examination when appropriate will guide further investigation and facilitate prompt diagnosis. We present a case of a 26-year-old man with testicular germ cell tumor and severe anemia secondary to extension and perforation of duodenum by retroperitoneal metastasis and a review of the literature on the gastrointestinal manifestations of testicular germ cell tumors.
睾丸生殖细胞肿瘤（GCT）是年轻男性中最常见的实体瘤。典型表现为无痛性阴囊肿大；然而，与并发症或转移相关的症状可能是首发表现。约5%的生殖细胞肿瘤患者会出现胃肠道（GI）转移，通常表现为GI出血。对于出现不明原因贫血的年轻男性，将GCT作为GI出血的鉴别诊断很重要，因为直接询问阴囊肿大情况并在适当时候进行生殖器检查将有助于进一步检查并促进及时诊断。我们报告一例26岁男性睾丸生殖细胞肿瘤患者，因腹膜后转移导致十二指肠延伸和穿孔继发严重贫血，并对睾丸生殖细胞肿瘤的胃肠道表现相关文献进行综述。
