Metastatic Testicular Embryonal Carcinoma Presenting as Gastrointestinal Hemorrhage

Testicular cancer is the most common malignancy in men aged 20–35 years, usually presenting with painless scrotal swelling. Metastases, should they occur, frequently involve retroperitoneal lymph nodes, which drain the testes. Gastrointestinal (GI) metastases are rare, and metastatic disease may not...

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Bibliographic Details
Published in:ACG case reports journal 2021-09, Vol.8 (9), p.e00654-e00654
Main Authors: Park, Nathan, Han, James, Shah, Sagar, Chahine, Anastasia, Samarasena, Jason
Format: Article
Language:English
Subjects:
Case Report
Endoscopy
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Summary:Testicular cancer is the most common malignancy in men aged 20–35 years, usually presenting with painless scrotal swelling. Metastases, should they occur, frequently involve retroperitoneal lymph nodes, which drain the testes. Gastrointestinal (GI) metastases are rare, and metastatic disease may not initially be considered in a young man presenting with GI hemorrhage. This case demonstrates the importance of evaluating for a primary underlying malignancy, especially if other causes of GI hemorrhage have been ruled out. Testicular primary should additionally be considered in men because early intervention may often lead to improved clinical outcomes.
ISSN:2326-3253
2326-3253
DOI:10.14309/crj.0000000000000654