Mature testicular teratoma with vena caval invasion presenting as pulmonary embolism.
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.
Kwok
C K
CK
Department of Urology, University of Miami/Jackson Medical Center, Florida.
Horowitz
M D
MD
Livingstone
A S
AS
Block
N L
NL
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