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睾丸绒毛膜癌:一名出现失血性休克患者的罕见诊断。

Testicular choriocarcinoma: a rare diagnosis in a patient presenting with hemorrhagic shock.

作者信息

Mazzeo Michael, Bhattacharyya Ratul, Yang James, Molavi Ida

机构信息

School of Medicine, St. George's University, GrenadaWest Indies.

Department of Surgery, St. Joseph's University Medical Center, Paterson, NJ, USA.

出版信息

J Surg Case Rep. 2023 Feb 22;2023(2):rjad064. doi: 10.1093/jscr/rjad064. eCollection 2023 Feb.

Abstract

Testicular choriocarcinoma is a rare and aggressive subtype of nonseminomatous germ cell tumors accounting for <1% of all germ cell tumors. We report an unusual case of testicular choriocarcinoma metastasis that presents as hemorrhagic shock. Diagnosis was unsuspected and difficult with vast other potential causes. This case highlights the importance of proper foundational workup and management that ultimately led to the appropriate definitive treatment of unusual manifestations of undiagnosed metastatic choriocarcinoma in a critical patient.

摘要

睾丸绒毛膜癌是一种罕见且侵袭性强的非精原细胞瘤性生殖细胞肿瘤亚型,占所有生殖细胞肿瘤的比例不到1%。我们报告了一例罕见的睾丸绒毛膜癌转移病例,该病例表现为失血性休克。由于存在大量其他潜在病因,诊断未被怀疑且困难重重。该病例凸显了进行适当基础检查和管理的重要性,这最终促成了对一名重症患者未确诊的转移性绒毛膜癌异常表现进行恰当的确定性治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1219/9946768/e7c9bd16bdab/rjad064f1.jpg

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