Affiliations 

  • 1 Department of Gastroenterology, Mahkota Medical Centre Melaka Malaysia
  • 2 Department of Pathology, Mahkota Medical Centre Melaka Malaysia
  • 3 Department of Radiology, Mahkota Medical Centre Melaka Malaysia
  • 4 Faculty of Medicine, University of Malaya Kuala Lumpur Malaysia
JGH Open, 2022 Feb;6(2):152-154.
PMID: 35155826 DOI: 10.1002/jgh3.12711

Abstract

A 32-year-old Malay male was referred to our hospital for a second opinion. An abdominal and pelvic CT scan at the previous medical facility showed a large retroperitoneal tumor, which was subjected to ultrasound-guided fine-needle aspiration cytology (FNAC) with a provisional diagnosis of malignant lymphoma. However, after reviewing the existing results, a repeat biopsy was deemed necessary and this was performed endoluminally via gastroduodenoscopy in view of the close proximity of the tumor and the third part of the duodenum. The first biopsy failed to detect any abnormal cells, but a repeat biopsy with supporting evidence from other laboratory results led to a final diagnosis of extragonadal germ cell tumor (GCT) with duodenal infiltration.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.