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
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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


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).


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


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


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