Cardiac murmur prompting diagnosis of metastatic nonseminomatous germ cell testicular neoplasia in an 18-year-old patient.
Most retroperitoneal tumors such as renal cell carcinoma have been associated with tumor thrombus extending into the renal vein, inferior vena cava (IVC), and heart. The retroperitoneal metastatic potential of testicular tumors is well known. We report here the first instance of a cardiac murmur prompting diagnosis of metastatic testicular neoplasia in an 18-year-old patient. Chemotherapy was delayed and after successful surgical resection of the ventricular mass, the patient recovered uneventfully. This case underscores the need to pursue abnormal cardiac exams in newly diagnosed testicular cancer patients.
Chung
Steve Y
SY
Minimally Invasive Urology Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA. steve.chung@cshs.org
Davies
Benjamin
B
Bastacky
Sheldon
S
Gupta
Dilip
D
Pound
Charles R
CR
D000293:Adolescent; D018237:Germinoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006337:Heart Murmurs / Q000175:diagnosis* / Q000209:etiology; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008297:Male; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery