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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2010, Number 5

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Rev Mex Urol 2010; 70 (5)

Spontaneous metastatic bleeding in germ cell testicular tumor

López-Álvarez A, Navarrete-García E, Gaytán-Escobar E, Torres-Medina E
Full text How to cite this article

Language: Spanish
References: 6
Page: 305-307
PDF size: 954.26 Kb.


Key words:

Testicular tumor, peritoneal hemorrhage, spontaneous, Mexico.

ABSTRACT

Testicular tumor is not very frequent and most commonly presents in patients between the ages of 15-35 years, representing 0.5-2% of tumors in men. Testicular tumor diagnosis has a big impact on the patient due to the age in which it presents, the necessary treatment, and its implications in relation to fertility. In advanced stages, metastases considerably increase morbidity. Its metastatic pattern is typically lymphatic with the exception of choriocarcinoma, which has a hematogenic pattern. The case presented here is a mixed germ cell tumor with metastatic retroperitoneal tumor mass that presented spontaneous hemoperitoneum due to metastatic rupture. Disease progression was short-term, ending in death.


REFERENCES

  1. Tumores de Testículo, en: Urología de Campbell-Walsh. 9th ed. Saunders, Elsevier. 2007.

  2. Toner GC. The challenge of poor-prognosis germ cell tumors. Urol Clin North Am 2007;34:187-9.

  3. Castineiras FJ, et al. Oncología. Libro del residente de Urología. Grupo ENE. 2007.

  4. Cicin I, Ozyilmaz F, Karagol H. Massive upper gastrointestinal bleeding from pure metastatic choriocarcinoma in patient with mixed germ cell tumor with subclinical intestinal metastasis Urology 2009;73:443.e15-7.

  5. Urdiales-Ortiz A, Fulda-Graue S, Pérez-Becerra R. Hemorragia masiva del tracto digestivo como manifestación inicial de coriocarcinoma testicular metastásico. Rev Mex Urol 2009;69:163-6.

  6. Kaufman MR, Chang SS. Short- and long-term complications of therapy for testicular cancer. Urol Clin North Am. 2007 May; 34(2):259-68.




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Rev Mex Urol. 2010;70