Testicular seminoma metastasis to pancreas: a rare cause of obstructive jaundice.
作者： Viplove Senadhi , Mohit Girotra , Javaid M Khan , Niraj Jani , Sudhir K Dutta
DOI:
关键词: Dark stools 、 Gastroenterology 、 Constipation 、 Medicine 、 Internal medicine 、 Testicular seminoma 、 Metastasis 、 CT Abdomen 、 Surgery 、 Obstructive jaundice 、 Pancreas 、 Abdominal pain
摘要: A 43-year-old African-American man presents to the ER with right upper quadrant abdominal pain and pruritus of 2-week duration. He also had dark stools increasing constipation. On exam, notable findings included icteric sclera, epigastric tenderness. Laboratory studies revealed a total bilrubin 6.3mg/dl, AST/ALT 52/143 units/L, ALP 408 units/L. CT abdomen showed large soft tissue mass at 2
elsevier.com参考文章(10)
D McDonagh, K Washington, Secondary tumors of the gastrointestinal tract: surgical pathologic findings and comparison with autopsy survey. Modern Pathology. ,vol. 8, pp. 427- 433 ,(1995)
Maxwell M. Chait, Robert C. Kurtz, Steven I. Hajdu, Gastrointestinal tract metastasis in patients with germ-cell tumor of the testis. Digestive Diseases and Sciences. ,vol. 23, pp. 925- 928 ,(1978) , 10.1007/BF01072468
Spiros P. Hiotis, David S. Klimstra, Kevin C. Conlon, Murray F. Brennan, Results after pancreatic resection for metastatic lesions. Annals of Surgical Oncology. ,vol. 9, pp. 675- 679 ,(2002) , 10.1007/BF02574484
R. Weller, International Histological Classification of Tumours Journal of Clinical Pathology. ,vol. 34, pp. 692- 692 ,(1981) , 10.1136/JCP.34.6.692-D
Brett S. Carver, Joel Sheinfeld, Germ cell tumors of the testis. Annals of Surgical Oncology. ,vol. 12, pp. 871- 880 ,(2005) , 10.1245/ASO.2005.01.013
D.E. Johnson, G. Appelt, M.L. Samuels, M. Luna, Metastases from testicular carcinoma Study of 78 autopsied cases Urology. ,vol. 8, pp. 234- 239 ,(1976) , 10.1016/0090-4295(76)90374-5
Jess L Thompson, Michael L Blute, Coffee grounds emesis: Rare presentation of testicular cancer treated with neoadjuvant chemotherapy Urology. ,vol. 64, pp. 376- 377 ,(2004) , 10.1016/J.UROLOGY.2004.04.022
Ranko Miocinovic, Ronney Abaza, Testicular seminoma presenting with duodenal perforation: a case report Journal of Medical Case Reports. ,vol. 2, pp. 294- 294 ,(2008) , 10.1186/1752-1947-2-294
John P. Donohue, James M. Zachary, Barney R. Maynard, Distribution of Nodal Metastases in Nonseminomatous Testis Cancer The Journal of Urology. ,vol. 128, pp. 315- 320 ,(1982) , 10.1016/S0022-5347(17)52904-3
Pramod C. Sogani, Evolution of the management of stage I nonseminomatous germ-cell tumors of the testis. Urologic Clinics of North America. ,vol. 18, pp. 561- 573 ,(1991) , 10.1016/S0094-0143(21)00352-9