A Case of Metastatic Seminoma Mimicking a Primary Pancreatic Tumor

Metastatic seminoma to the pancreas is exceedingly rare, with few reported cases in medical literature. We present a case of a 66-year-old male, six years post-remission from testicular seminoma, who presented with obstructive jaundice and a pancreatic mass mimicking primary malignancy. Diagnostic workup including endoscopic ultrasound-guided biopsy confirmed metastatic seminoma. He underwent successful treatment with four cycles of cisplatin and etoposide, achieving complete remission. This case underscores the diagnostic challenge of pancreatic metastases and emphasizes the role of biopsy in guiding appropriate management. Awareness of such presentations is crucial for timely intervention and improved patient outcomes.

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Publication Details

Journal
Cureus
Published
2024-09-27
DOI
https://doi.org/10.7759/cureus.70329
Primary Topic
Testicular diseases and treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

A Case of Metastatic Seminoma Mimicking a Primary Pancreatic Tumor

Ahmad I. Alomari, John Curran, Robert Pompa, Mark Obri et al.
Cureus
Testicular diseases and treatments
article

A Case of Metastatic Seminoma Mimicking a Primary Pancreatic Tumor

Ahmad I. Alomari, John Curran, Robert Pompa, Mark Obri, William D. Davis, Ismail Althunibat, Basel Aldroubi
article en

Abstract

Metastatic seminoma to the pancreas is exceedingly rare, with few reported cases in medical literature. We present a case of a 66-year-old male, six years post-remission from testicular seminoma, who presented with obstructive jaundice and a pancreatic mass mimicking primary malignancy. Diagnostic workup including endoscopic ultrasound-guided biopsy confirmed metastatic seminoma. He underwent successful treatment with four cycles of cisplatin and etoposide, achieving complete remission. This case underscores the diagnostic challenge of pancreatic metastases and emphasizes the role of biopsy in guiding appropriate management. Awareness of such presentations is crucial for timely intervention and improved patient outcomes.

CureusVol. 16(9)
Latakia University (SY), Henry Ford Health System (US), Saint Michael's Medical Center (US)
Openalex Percentile: Top 69%
Testicular diseases and treatments
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