title: Testicular mixed germ cell tumor metastasizing to heart.
abstract: A 21 years old male presented with low grade fever, hemoptysis and progressively increasing dyspnoea of four month duration followed by acutely developing dizziness, hypotension, convulsion and altered sensorium. He had been operated (left inguinal orchidectomy) for left testicular swelling two years back with high alpha-fetoprotein and normal beta-human chorionic gonadotropin (beta-hCG). In view of this a possibility of metastasis secondary to a malignant testicular tumor was considered. Echocardiography demonstrated a large intracardiac mass, chest computed tomography (CT) revealed intracardiac mass, mediastinal masses and left sided pleural effusion. The histopathology revealed testicular mixed germ cell tumor (MGCT). This case is presented to demonstrate uncommon cardiac manifestations of secondary spread of testicular malignancy.
authors.affiliation: Department of Medicine, University College of Medical Sciences and GTB Hospital, Delhi.
authors.forename: R
authors.initials: R
authors.lastname: Avasthi
authors.forename: S C
authors.initials: SC
authors.lastname: Chaudhary
authors.forename: D
authors.initials: D
authors.lastname: Mohanty
authors.forename: Kiran
authors.initials: K
authors.lastname: Mishra
mesh_terms: D000328:Adult; D004452:Echocardiography; D018240:Endodermal Sinus Tumor / Q000473:pathology / Q000556:secondary; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000473:pathology* / Q000601:surgery; D009919:Orchiectomy; D013724:Teratoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D013736:Testicular Neoplasms / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed