Upper gastrointestinal hemorrhage as a rare extragonadal presentation of seminoma of testis
Version of Record online: 10 APR 2007
International Journal of Urology
Volume 14, Issue 3, pages 261–263, March 2007
How to Cite
Yamamoto, H., Deshmukh, N., Gourevitch, D., Taniere, P., Wallace, M. and Cullen, M. H. (2007), Upper gastrointestinal hemorrhage as a rare extragonadal presentation of seminoma of testis. International Journal of Urology, 14: 261–263. doi: 10.1111/j.1442-2042.2007.01685.x
- Issue online: 10 APR 2007
- Version of Record online: 10 APR 2007
- Received 29 January 2006; accepted 14 September 2006.
- burned out;
- testicular cancer
Abstract: A rare case of a gastric presentation of a seminoma with burned out primary testicular tumor is described. The patient initially presented with upper gastrointestinal hemorrhage. Endoscopic biopsies were suggestive of seminoma, and testicular ultrasound revealed a focal lesion and testicular microcalcification. Treatment consisted of bilateral orchidectomy, followed by four cycles of etoposide and bleomycin, where a complete response was achieved. Testicular histology was consistent with the ‘burned out’ phenomenon and no tumor cells were found. There are only two previously reported cases of extragonadal seminoma in the stomach.