title: Extensive arterial and venous thrombo-embolism with chemotherapy for testicular cancer: a case report.
abstract: Germ cell tumours tend to affect young adults and with advanced treatments achieve more than 90% cure rates. Over the years cisplatin has significantly improved the relapse free survival in these patients, hence forming an essential component of chemotherapy regimes. But, the thrombo-embolic complications suffered with cisplatin significantly affect the quality of life in these young patients.We describe a young adult who suffered a potentially fatal cerebral and pulmonary vascular insult on completing first cycle of cisplatin-based chemotherapy for a non-seminomatous germ cell tumour. Venous and arterial thrombo-embolism was the mechanism of injury and was promptly managed surgically and medically including neuro-rehabilitation.
authors.affiliation: Surgical Directorate, Royal Cornwall Hospitals NHS Trust, Truro, UK.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Batra
authors.forename: Jonathan N
authors.initials: JN
authors.lastname: Davies
authors.forename: Duncan
authors.initials: D
authors.lastname: Wheatley