Brain Metastasis of a Primary Testicular Pure Choriocarcinoma Presenting with Frontal Lobe Hemorrhage

Abstract

We present the case of a 21-year-old male patient who was diagnosed with metastatic brain choriocarcinoma after presenting with a spontaneous cerebral hemorrhage. The treatment performed for this patient was an open surgery with full excision of the lesion. It is known that this kind of tumor is usually found in women, with low incidence in men. With this information as a baseline, we found multiple pulmonary metastases and a primary pure choriocarcinoma in his testicle.

Resumo

Apresentamos o caso de um paciente do sexo masculino, de 21 anos de idade, o qual foi diagnosticado com um coriocarcinoma cerebral metastático após apresentar uma hemorragia cerebral espontânea. O tratamento realizado para este paciente foi uma cirurgia aberta com excisão total da lesão. Sabe-se que este tipo de tumor é normalmente encontrado em mulheres, com baixa incidência no sexo masculino. A partir desta informação, encontramos múltiplas metástases pulmonares e um coriocarcinoma primário puro em seu testículo.

Keywords

neurosurgery - choriocarcinoma - neoplasms

Palavras-chave

neurocirurgia - coriocarcinoma - neoplasias

• References

• 1 Chen X, Xu L, Chen X, Teng X, Zheng S. Testicular choriocarcinoma metastatic to skin and multiple organs. Two case reports and review of literature. J Cutan Pathol 2010; 37 (4) 486-490
• 2 Lowe K, Paterson J, Armstrong S, Walsh S, Groome M, Mowat C. Metastatic Testicular Choriocarcinoma: A Rare Cause of Upper GI Bleeding. ACG Case Rep J 2015; 3 (1) 36-38
• 3 Pokharna P, Sharma N, Tiwari A, Devgaraha S, Mathur RM. Testicular embryonal cell carcinoma presenting as haemoptysis and skin nodules. Indian J Chest Dis Allied Sci 2014; 56 (2) 125-127
• 4 Lin D, Tan AJH, Singh-Rai R. A Literature Review and Case Report of Metastatic Pure Choriocarcinoma. Case Rep Oncol Med 2015; 2015: 345018
• 5 Worster A, Sharma S, Mookadam F, Opie J. Acute presentation of choriocarcinoma: a case study and review of the literature. CJEM 2002; 4 (2) 111-114
• 6 Li J, Yang J, Liu P , et al. Clinical characteristics and prognosis of 272 postterm choriocarcinoma patients at Peking Union Medical College Hospital: a retrospective cohort study. BMC Cancer 2016; 16: 347
• 7 Lu X, Wang C, Xu X, Jiang T. Intracerebral hemorrhage as initial presentation of nongestational choriocarcinoma: a case report and literature review. Int J Clin Exp Med 2016; 9 (3) 6920-6925
• 8 Liu H, Xiao YD, Peng SP, Zhou SK, Liu J. Pituitary metastasis of choriocarcinoma: A case report. Oncol Lett 2016; 11 (2) 1517-1520