<sup>18</sup>F-FDG PET/CT Imaging of Metastatic Testicular Choriocarcinoma Mimicking Gastric Cancer which Initial Symptom is Melena
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February 2021

18F-FDG PET/CT Imaging of Metastatic Testicular Choriocarcinoma Mimicking Gastric Cancer which Initial Symptom is Melena

Mol Imaging Radionucl Ther 2021;30(1):47-49
1. Recep Tayyip Erdoğan University Faculty of Medicine, Department of Nuclear Medicine, Rize, Turkey
2. Recep Tayyip Erdoğan University Faculty of Medicine, Department of Medical Oncology, Rize, Turkey
3. Recep Tayyip Erdoğan University Faculty of Medicine, Department of Gastroenterology, Rize, Turkey
4. Recep Tayyip Erdoğan University Faculty of Medicine, Department of Radiation Oncology, Rize, Turkey
5. Recep Tayyip Erdoğan University Faculty of Medicine, Department of Pathology, Rize, Turkey
No information available.
No information available
Received Date: 08.01.2019
Accepted Date: 13.10.2020
Publish Date: 09.02.2021
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ABSTRACT

Gastric metastasis of choriocarcinoma is rarely reported in the literature. This case report presents the case of multiple metastatic testicular choriocarcinoma mimicking gastric cancer, with melena as the initial symptom. In this case, 18fluorine-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) showed that the testis was the primary focus. The contribution of PET/CT is significant to primary focus detection in metastatic diseases of unknown primary origin that presented gastrointestinal bleeding. In addition to its use in staging of testicular carcinoma, PET/CT provides significant benefit in evaluating patients with increased levels of tumor markers and in detecting recurrence.

References

1
Bosl GJ, Motzer RJ. Testicular germ-cell cancer. N Engl J Med 1997;337:242-253.
2
Harikumar R, Harish K, Aravindan KP, Thomas V. Testicular choriocarcinoma with gastric metastasis presenting as hematemesis. Indian J Gastroenterol 2004;23:223-224.
3
Aydiner A, Olgaç V, Darendeliler E, Oztürk N, Dinçol K, Erseven G, Onat H. Testicular germ cell tumor with gastric metastasis. Acta Oncol 1993;32:459-460.
4
Shariat SF, Duchene D, Kabbani W, Mucher Z, Lotan Y. Gastrointestinal hemorrhage as first manifestation of metastatic testicular tumor. Urology 2005;66:1319.
5
Hsu CC, Chen JJ, Changchien CS. Endoscopic features of metastatic tumors in the upper gastrointestinal tract. Endoscopy 1996;28:249-253.
6
Cook GJ, Sohaib A, Huddart RA, Dearnaley DP, Horwich A, Chua S. The role of 18F-FDG PET/CT in the management of testicular cancers. Nucl Med Commun 2015;36:702-708.
7
Molina Infante J, Beceiro Pedreño I, Ripoll Noiseux C, Marín Jiménez I, González Asanza C, Menchén Fernández-Pacheco P. Gastrointestinal hemorrhage due to metastatic choriocarcinoma with gastric and colonic involvement. Rev Esp Enferm Dig 2004;96:77-80.