"burned out" testicular seminoma presenting as a primary gastric malignancy

Hector Mesa, Ajay Rawal, Anthony Rezcallah, Carlos Iwamoto, Gloria A. Niehans, Paul Druck, Pankaj Gupta

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


In contrast to primary gastric adenocarcinomas, germ cell tumors are potentially curable even when metastatic. It is therefore essential for clinicians and pathologists to be aware of the spectrum of unusual manifestations of germ cell malignancies. Here we report on a 55-year-old man who presented with clinical and endoscopic features indicative of a primary gastric carcinoma. Surprisingly, the ulcerative mucosal lesion was found to be due to a metastasis from an occult, "burned-out" testicular seminoma. This case describes the radiological and pathological features that helped differentiate this rare situation from the much more common gastric adenocarcinoma, and extends the diagnostic possibilities that must be considered in patients presenting with gastric ulcers.

Original languageEnglish (US)
Pages (from-to)74-77
Number of pages4
JournalInternational Journal of Clinical Oncology
Issue number1
StatePublished - Feb 2009


  • Neoplasm metastasis
  • Neoplasms, unknown primary
  • Seminoma
  • Stomach
  • Stomach ulcer
  • Testicular neoplasms


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