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Rare disease
Case report
Head and neck cutaneous metastasis of testicular choriocarcinoma
  1. Sepehr Shabani,
  2. Nicholas Pritchard,
  3. Tapan A Padhya and
  4. Matthew Mifsud
  1. Department of Otolaryngology-Head and Neck Surgery, USF Health Morsani College of Medicine, Tampa, Florida, USA
  1. Correspondence to Dr Sepehr Shabani; sshabani{at}usf.edu

Abstract

Testicular choriocarcinoma (CC) is a malignant germ cell tumour which most frequently presents with disseminated metastasis, often involving the lungs, brain and liver. Metastatic are characterised by extensive vascularity, often causing patients to present emergently with potentially life-threatening haemorrhagic complications. We report a patient with disseminated testicular CC, presenting with haemorrhage from a dermal metastatic focus involving the lower lip and mentum, requiring surgical intervention. This unique case illustrates the potential utility of palliative surgery, for the management of symptomatic metastatic disease, such as those caused by testicular CC.

  • malignant disease and immunosuppression
  • ear, nose and throat/otolaryngology
  • otolaryngology / ENT
  • surgical oncology
  • head and neck surgery

https://doi.org/10.1136/bcr-2019-233337

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    Footnotes

    • Contributors SS was involved in planning, designing, acquisition of data and writing of manuscript including making the figures and tables. NP was involved in acquisition of data and editing the manuscript. TAP was involved in planning the project and editing the manuscript. MM was involved in designing the project and editing the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Next of kin consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.