title: Both-sided intra-atrial intracardiac metastases as the initial presentation of testicular seminoma.
abstract: We report a case of a 41-year-old man admitted with respiratory distress and found to have masses in both atria of the heart and in the testicle. The patient received palliative radiotherapy to relieving obstruction of blood flow tract caused by the intracardiac masses, followed by radical orchiectomy. After the diagnosis of testicular seminoma, he was treated successfully with 4 cycles of systemic chemotherapy. This is a rare case that presented with metastatic testicular seminoma involving both atria of heart and causing symptomatic obstruction of blood flow tract.
authors.affiliation: Division of Oncology, Department of Internal Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
authors.forename: Jae-Cheol
authors.initials: JC
authors.lastname: Jo
authors.forename: Dae Ho
authors.initials: DH
authors.lastname: Lee
authors.forename: Byung Wook
authors.initials: BW
authors.lastname: Kang
authors.forename: Sung Sook
authors.initials: SS
authors.lastname: Lee
authors.forename: Sun Jin
authors.initials: SJ
authors.lastname: Sym
authors.forename: Min Kyoung
authors.initials: MK
authors.lastname: Kim
authors.forename: Jin-Hee
authors.initials: JH
authors.lastname: Ahn
authors.forename: Jae-Lyun
authors.initials: JL
authors.lastname: Lee
authors.forename: Sang-We
authors.initials: SW
authors.lastname: Kim
authors.forename: Cheolwon
authors.initials: C
authors.lastname: Suh
authors.forename: Yoon-Koo
authors.initials: YK
authors.lastname: Kang
authors.forename: Jung-Shin
authors.initials: JS
authors.lastname: Lee
mesh_terms: D000328:Adult; D006325:Heart Atria; D006338:Heart Neoplasms / Q000209:etiology / Q000473:pathology / Q000556:secondary* / Q000628:therapy; D006801:Humans; D008297:Male; D018239:Seminoma / Q000473:pathology* / Q000628:therapy; D013736:Testicular Neoplasms / Q000473:pathology* / Q000628:therapy