title: Metastatic seminoma presenting with pulmonary embolus, inferior vena caval thrombosis, and gastrointestinal bleeding.
abstract: Testicular cancer metastasis to the retroperitoneum can be associated with a variety of complications due to obstruction or invasion of adjacent structures. In this case report, we present an unusual patient with invasion of the duodenum from germ cell cancer and discuss the management of this challenging scenario.
authors.affiliation: Division of Urology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Leslie
authors.forename: Lloyd
authors.initials: L
authors.lastname: Stegemann
authors.forename: Alexander R
authors.initials: AR
authors.lastname: Miller
authors.forename: Ian M
authors.initials: IM
authors.lastname: Thompson
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004379:Duodenal Neoplasms / Q000150:complications / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008551:Melena / Q000209:etiology; D009919:Orchiectomy; D009944:Organoplatinum Compounds / Q000627:therapeutic use; D011655:Pulmonary Embolism / Q000209:etiology*; D012074:Remission Induction; D018239:Seminoma / Q000150:complications / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D013736:Testicular Neoplasms / Q000473:pathology* / Q000601:surgery; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000209:etiology*
chemical_list: D009944:Organoplatinum Compounds