title: Mature testicular teratoma with vena caval invasion presenting as pulmonary embolism.
abstract: We report a case of mature testicular teratoma with invasion and thrombosis of the inferior vena cava that presented as recurrent pulmonary embolism. Treatment included radical orchiectomy, chemotherapeutic cytoreduction and, finally, resection of a massive retroperitoneal tumor with en bloc resection of the inferior vena cava using cardiopulmonary bypass and deep hypothermic circulatory arrest. Management is discussed and the literature is reviewed.
authors.affiliation: Department of Urology, University of Miami/Jackson Medical Center, Florida.
authors.forename: C K
authors.initials: CK
authors.lastname: Kwok
authors.forename: M D
authors.initials: MD
authors.lastname: Horowitz
authors.forename: A S
authors.initials: AS
authors.lastname: Livingstone
authors.forename: N L
authors.initials: NL
authors.lastname: Block
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D009360:Neoplastic Cells, Circulating; D011655:Pulmonary Embolism / Q000209:etiology*; D013724:Teratoma / Q000150:complications*; D013736:Testicular Neoplasms / Q000150:complications*; D014682:Vena Cava, Inferior