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Choriocarcinoma Syndrome as an Initial Presentation of Testicular Cancer
Joint Authors
Salazar-Mejía, Carlos Eduardo
Hernández-Barajas, David
Llerena-Hernández, Edio
González-Vela, José Luis
Contreras-Salcido, María Inés
Wimer-Castillo, Blanca Otilia
García-Gutiérrez, María Elena
Rodríguez-Álvarez, Carlos Javier
Lara-Campos, Jackeline Grace
Source
Case Reports in Oncological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-08
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Choriocarcinoma syndrome (CS) is a rare clinical entity within the spectrum of nonseminomatous germ-cell tumors (NSGCT).
It is characterized by the abrupt establishment of rapidly progressive and hemorrhagic tumors associated with very high levels of the beta fraction of human chorionic gonadotropin (β-hCG) and with a very poor prognosis, particularly in patients with β-hCG values above 50,000 IU/L.
We present the case of a 17-year-old man with a sudden onset nonmassive hemoptysis.
Physical examination revealed a right testicular mass.
Imaging studies showed metastatic lung, bone, and retroperitoneal disease.
β-hCG serum levels were 222,493.21 IU/L, AFP 1.56 ng/mL, and DHL 457 IU/L.
Histopathological study after right radical orchiectomy showed a mixed germ-cell tumor.
Based on poor-risk characteristics, chemotherapy was started with an adequate clinical response.
Physicians should be aware of the potential complications of CS in the treatment of testicular cancer with high β-hCG levels since they could be associated with a rapidly progressive and high-volume disease.
Patients in this category should be referred to the centers experienced in the treatment of advanced germ-cell tumors.
Due to the severity of the presentation, hemodynamic monitoring, ideally in an intensive care unit, is essential as well as timely administration of cytotoxic treatment.
American Psychological Association (APA)
Salazar-Mejía, Carlos Eduardo& García-Gutiérrez, María Elena& Contreras-Salcido, María Inés& Rodríguez-Álvarez, Carlos Javier& Wimer-Castillo, Blanca Otilia& Lara-Campos, Jackeline Grace…[et al.]. 2018. Choriocarcinoma Syndrome as an Initial Presentation of Testicular Cancer. Case Reports in Oncological Medicine،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1146594
Modern Language Association (MLA)
Salazar-Mejía, Carlos Eduardo…[et al.]. Choriocarcinoma Syndrome as an Initial Presentation of Testicular Cancer. Case Reports in Oncological Medicine No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1146594
American Medical Association (AMA)
Salazar-Mejía, Carlos Eduardo& García-Gutiérrez, María Elena& Contreras-Salcido, María Inés& Rodríguez-Álvarez, Carlos Javier& Wimer-Castillo, Blanca Otilia& Lara-Campos, Jackeline Grace…[et al.]. Choriocarcinoma Syndrome as an Initial Presentation of Testicular Cancer. Case Reports in Oncological Medicine. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1146594
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146594