Recovery from Choriocarcinoma Syndrome Associated with a Metastatic Extragonadal Germ Cell Tumor Hemorrhage
| Autor: | Akira Ouchi, Takashi Kinoshita, Daisuke Hayashi, Yoshiki Senda, Yasuhiro Shimizu, Tetsuya Abe, Daisuke Takahari, Kenya Kimura, Norihisa Uemura, Tomoyuki Akazawa, Seiji Natsume, Seiji Ito, Yuichi Ito, Masayuki Tsutsuyama, Yoshinori Iwata, Jiro Kawakami, Itaru Shigeyoshi, Kazunari Misawa, Koji Komori |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Extragonadal germ cell tumor
medicine.medical_specialty medicine.medical_treatment Case Report Malignancy Choriocarcinoma syndrome 03 medical and health sciences 0302 clinical medicine medicine lcsh:RC799-869 Chemotherapy business.industry Choriocarcinoma Gastroenterology Abdominal distension medicine.disease Surgery medicine.anatomical_structure Extragonadal Germ Cell Tumor 030220 oncology & carcinogenesis Vomiting Inferior mesenteric vein 030211 gastroenterology & hepatology lcsh:Diseases of the digestive system. Gastroenterology medicine.symptom business Germ cell |
| Zdroj: | Case Reports in Gastroenterology, Vol 10, Iss 1, Pp 193-198 (2016) Case Reports in Gastroenterology |
| ISSN: | 1662-0631 |
| Popis: | A germ cell tumor is the most common form of malignancy in early male life, and can be classified as either seminomatous or nonseminomatous. Choriocarcinoma, comprised of nonseminomatous germ cells, is the most aggressive type of germ cell tumor and characteristically metastasizes to the retroperitoneal lymph nodes and less frequently to the lungs, liver, bone or brain [Shibuya et al., 2009;48: 551–554]. A 56-year-old man was admitted to another hospital complaining of abdominal distension. Symptoms included anorexia, vomiting, and diarrhea. The patient was diagnosed with an extragonadal germ cell tumor and referred to our hospital to receive chemotherapy. The day after admission, the patient’s abdominal distension gradually worsened. An emergency operation revealed venous hemorrhage from the surface of a metastatic extragonadal germ cell tumor between the ligament of Treitz and the inferior mesenteric vein in a horizontal position. Hemostatic treatment was performed with 4-0 proline thread attached to a medicated cotton sponge, rather than using a simple proline thread, and the closure area was manually compressed. Chemotherapy was initiated on postoperative day 10. A metastatic extragonadal germ cell tumor that causes massive hemorrhage and gastrointestinal hemorrhage is very rare, and represents a life-threatening emergency. If the patient’s condition carries a substantial risk of bleeding to death, it may be worthwhile to attempt abdominal operations. |
| Databáze: | OpenAIRE |
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