Acute pulmonary hemorrhage associated with metastatic testicular choriocarcinoma in a 46-year-old incarcerated male. 2019

Hali Pearce, and Daniel C Edwards, and Jason A Levy, and Brian H McGreen, and Lynn Mackovick, and Matthew Brennan, and Mary McHugh, and Beth Mapow, and Francis J Schanne, and Laurence Belkoff
Alabama College of Osteopathic Medicine, Dothan, Alabama, USA.

Pure testicular choriocarcinoma is a rare histological subtype of germ cell tumor (GCT) and typically presents with distant metastases and aggressive features leading to a generally poor prognosis. Unique to choriocarcinoma among GCT histological subtypes is the propensity of spontaneous hemorrhage into metastatic lesions. We report a case of pure testicular choriocarcinoma in a 46-year-old male with postoperative acute pulmonary hemorrhage secondary to tumor invasion of the lungs, and the subsequent management of his disease with a discussion of relevant literature.

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