Author/Authors :
Göksel, Sibel Recep Tayyip Erdoğan University Faculty of Medicine - Department of Nuclear Medicine - Rize, Turkey , Akın, Serkan Recep Tayyip Erdoğan University Faculty of Medicine - Department of Medical Oncology - Rize, Turkey , Akdoğan, Remzi Adnan Recep Tayyip Erdoğan University Faculty of Medicine - Department of Gastroenterology - Rize, Turkey , Ayvaz, Muhammet Ali Recep Tayyip Erdoğan University Faculty of Medicine - Department of Gastroenterology - Rize, Turkey , Rakıcı, Sema Recep Tayyip Erdoğan University Faculty of Medicine - Department of Radiation Oncology - Rize, Turkey , Abdioğlu, Göksu Yavuz Recep Tayyip Erdoğan University Faculty of Medicine - Department of Pathology - Rize, Turkey
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.
Keywords :
18F-FDG PET/CT , testicular choriocarcinoma , melena , Gastric metastasis
