Case Report
Gastrointestinal Involvement of Testicular Germ Cell Tumor: A Case Report and Literature Review
Table 1
Summary table showing studies reporting gastrointestinal involvement of testicular germ cell tumor.
| | Total | 25 patients | | Mean age | 30.44 years | | Range age | 16–56 years |
| | | (%) |
| | Type of GCT | | | Seminoma | 5 (20%) | | NSGCT | 15 (60%) | | Mixed | 5 (20%) |
| | | (%) |
| | Range of GI symptoms | | | Melena | 11/25 (44%) | | Abdominal pain | 9/25 (36%) | | Abdominal mass | 4/25 (16%) | | Hematochezia | 2/25 (8%) | | Hematemesis | 4/25 (16%) | | Vomiting, nonbloody | 3/25 (12%) | | Others (abdominal distension, rigid abdomen) | 2/25 (8%) | | Mean hemoglobin at presentation (g/dl) | 6.8 | | EGD done (%) | 21/24 (84%) |
| | | |
| | Laterality of testis involved | | | Right | 14 | | Left | 5 | | Diffuse scrotal swelling | 1 | | NA | 3 | | Normal testis on Ultrasound | 2 | | Testicular symptoms (swelling or pain) as initial presenting complaint (%) | 6/25 (24%) |
| | Outcome |
| | Survived (%) | Mean follow up (months) 13.2
Survived 15/21 (71%) | | Deaths (%) | Mean days to death 25
Death 6/21 (28%) | | Choriocarcinoma | 4/6 (66%) | | Seminoma | 1/6 (17%) | | Mixed GCT | 1/6 (17%) |
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GCT: germ cell tumor; NSGCT: non seminomatous germ cell tumor; GI: gastrointestinal; EGD: esophagogastroduodenoscopy.
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