Extensive arterial and venous thrombo-embolism with chemotherapy for testicular cancer: a case report.
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.
Batra
Ramesh
R
Surgical Directorate, Royal Cornwall Hospitals NHS Trust, Truro, UK.
Davies
Jonathan N
JN
Wheatley
Duncan
D