Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding

Kirsty Lowe, Jacqueline Paterson, Sharon Armstrong, Shaun Walsh, Max Groome, Craig Mowat

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    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.

    Original languageEnglish
    Pages (from-to)36-8
    Number of pages3
    JournalACG case reports journal
    Volume3
    Issue number1
    DOIs
    Publication statusPublished - 9 Oct 2015

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