Testicular seminoma invading the duodenum misdiagnosed as duodenal tumor: A case report

3^rd Euro-Global Experts Meeting on Medical Case Reports

June 30-July 02, 2016 Valencia, Spain

Amer Hashim Hassan Al Ani

Sheikh Khalifa Hospital, UAE

Scientific Tracks Abstracts: J Clin Case Rep

Abstract :

Testicular cancers are the most common malignancies in men aged 15-35 years. Their incidence constitutes 0.8% of all men cancers worldwide, with a mortality rate of 0.1%. Testicular malignancies rarely metastasize to the retroperitoneum and involve upper gastrointestinal tract. Complications like intestinal obstruction, hemorrhage and ulceration of bowel mucosa are usually present. . We report here a 30 year old man presented with severe anemia due to upper gastrointestinal bleeding from ugly duodenal growth diagnosed by endoscopy. Biopsy revealed a moderately differentiated adenocarcinoma of the duodenum. The patient was referred to our unit for possible surgery (Whipple�s procedure). A thorough examination documented left testicular masses, slide review and immune stains showed duodenal metastatic lesion from a testicular germ cell tumor. Patient was treated by left orchidectomy (biopsy showed seminoma) and chemotherapy. One year later no gastrointestinal complaints or anemia were detected and patient was overweight. Following completion of chemotherapy, endoscopy showed no evidence of tumor in duodenum. CT scan abdomen showed normal retroperitoneum.

Biography :

Amer Hashim Hassan Al Ani has graduated from Baghdad Medical School. He has completed his Arab Board in General Surgery (2000), GIT Surgery subspecialty (2005), FRCS from The Royal College of Physician and Surgeon Glasgow (2011). He is currently a GIT & General Surgeon in Department of General Surgery of Sheikh Khalifa Hospital, UAE. He has published more than 15 papers in reputed journals and has been serving as an article Review Member of reputed journals. He has participated as speaker in more than 35 national and international conferences.