title: Testicular neoplasm presenting as a major pulmonary embolism.
abstract: OBJECTIVE
  To report an unusual and life-threatening presentation of a nonseminomatous germ cell tumor of the testis.
  
  
  METHODS
  A 35-year-old male presented with pulmonary embolism secondary to a neoplastic thrombus from a nonseminomatous germ cell tumor. Prompt management involved surgical thrombectomy with cardiopulmonary bypass and deep hypothermic circulatory arrest, followed by orchiectomy and adjuvant chemotherapy.
  
  
  RESULTS
  Three years later, the patient remains disease free according to physical examination, radiographic workup and serum markers.
  
  
  CONCLUSIONS
  The excellent long-term outcome of this patient supports an aggressive multidisciplinary management of nonseminomatous germ cell tumors in young adults.
authors.affiliation: Urology Department, Hospital of Argenteuil, France.
authors.forename: F
authors.initials: F
authors.lastname: Haab
authors.forename: F
authors.initials: F
authors.lastname: Cour
authors.forename: A
authors.initials: A
authors.lastname: Boutan Laroze
authors.forename: P
authors.initials: P
authors.lastname: Squara
authors.forename: G
authors.initials: G
authors.lastname: Lucas
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002822:Choriocarcinoma / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D018240:Endodermal Sinus Tumor / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D009360:Neoplastic Cells, Circulating; D009919:Orchiectomy; D011655:Pulmonary Embolism / Q000209:etiology* / Q000601:surgery; D013736:Testicular Neoplasms / Q000150:complications* / Q000628:therapy; D017131:Thrombectomy