Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 5, Number 12, December 2014, pages 639-642

Acute Clinical Presentation of Metastatic Testicular Choriocarcinoma: A Case Report and Brief Review of Literature

Figures

Figure 1.
Figure 1. Liver Mets: choriocarcinoma metastatic to liver.
Figure 2.
Figure 2. CT scan of abdomen and liver showing hemorrhagic metastasis.
Figure 3.
Figure 3. CT chest with large right pleural effusion and metastatic lung nodules.
Figure 4.
Figure 4. Pathological slides of choriocarcinoma (hematoxylin-eosin and immunohistochemical staining).

Tables

Table 1. Initial Labs of the Patient on Admission
 
CBCWBC 13, Hb 14, hematocrit 39 and platelets 192,000
BiochemistryNormal

 

Table 2. Elevated Tumor Markers Highly Suggestive of Testicular Cancer
 
Alpha fetoprotein2.2
Beta HCG902,758
LDH5,246

 

Table 3. Decline in Tumor Markers and Stabilization of Hemoglobin as Indicator of Good Response to Chemotherapy
 
Beta HCG5,260
Hemoglobin10 g