Amer Al Ani
Sheikh Khalifa Hospital, KSA
Title: Testicular seminoma invading the dudenum. misdiagnosed as duodenal tumor. A case report
Biography
Biography: Amer Al Ani
Abstract
Testicular cancers are the most common malignancies in men aged 15-35 years. Their incidence constitutes 0.8% of all men cancers worldwide, with a mortality rate of 0.1%. Testicular malignancies rarely metastasize to the retroperitoneum and involve upper gastrointestinal tract. Complications like intestinal obstruction, hemorrhage and ulceration of bowel mucosa are usually present. . We report here a 30 year old man presented with severe anemia due to upper gastrointestinal bleeding from ugly duodenal growth diagnosed by endoscopy. Biopsy revealed a moderately differentiated adenocarcinoma of the duodenum. The patient was referred to our unit for possible surgery (Whipple’s procedure). A thorough examination documented left testicular masses, slide review and immune stains showed duodenal metastatic lesion from a testicular germ cell tumor. Patient was treated by left orchidectomy (biopsy showed seminoma) and chemotherapy. One year later no gastrointestinal complaints or anemia were detected and patient was overweight. Following completion of chemotherapy, endoscopy showed no evidence of tumor in duodenum. CT scan abdomen showed normal retroperitoneum.