Anemia as the first manifestation of malignant testicular
tumor with metastatic involvement of the jejunum
Hvizdáková A.1, Krakovská B.2, Huorka M.1, Vyskočil M.1
1I. interná klinika LFUK a FN Bratislava, Prednosta: prof. MUDr. Anna Remková, DrSc. 2Interná onkologická klinika, Onkologický ústav sv. Alžbety s.r.o., Prednosta: prof. MUDr. Stanislav Špánik, CSc. |
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Summary:
Gastrointestinal bleeding is very common cause of the
anemia, in 3–5 % of patients the source of bleeding is a
tumor in small intestine. Diagnostics is based on imaging
methods (CT scan, enteroclysis) and enteroscopy.
The present study discusses a young patient with severe
sideropenic anemia. CT scans with enteroclysis showed
pathological formation in proximal jejunum. Following
the results of enteroscopy the suspicion of malignant
tumor was considered. Operation and histological examination
of tissue sample made a diagnosis of very rare
metastasis of testicular tumor to jejunum. The incidence
of malignant testicular tumors is increasing in last decades.
Metastatic affection of lymph nodes and extranodal
metastasis are often present in the time of making the
diagnosis. Rare events of metastatic affection of small
intestine by germinative testicular tumors were reported
in literature. Patients with gastrointestinal metastasis of
testicular tumors are clasiffied to high risk group.
Key words:
gastrointestinal bleeding, enteroscopy, metastasis,
testicular tumors.
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