Seminoma with bronchial involvement and superior vena cava syndrome: a rare combination.
We describe the case of a 45-year-old male who was admitted with clinical signs of superior vena cava syndrome (SVCS). Physical examination showed collar of Stokes and extensive collateral circulation in the neck and anterosuperior thoracic region, as well as a large testicular mass. Fibrobronchoscopy revealed an endobronchial tumour, histopathologically diagnosed as seminoma, with the same characteristics as the testicular biopsy. Treatment was initiated with surgery, chemotherapy and radiotherapy, resulting in a major clinical improvement. We indicate the importance of considering SVCS as an entity related with less common neoplasms such as germ cell tumours.
Sección de Neumología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
Pedro
P
Landete
Sección de Neumología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España. Electronic address: echinervives@gmail.com.
Eusebi
E
Chiner
Sección de Neumología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
José N
JN
Sancho-Chust
Sección de Neumología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
M Dolores
MD
Sánchez-Valverde
Sección de Neumología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
Patricia
P
Pérez-Ferrer
Sección de Neumología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.
Rodrigo
R
Bravo-Fernández
D001984:Bronchial Neoplasms / Q000150:complications* / Q000556:secondary*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018239:Seminoma / Q000150:complications* / Q000556:secondary*; D013479:Superior Vena Cava Syndrome / Q000209:etiology*; D013736:Testicular Neoplasms / Q000473:pathology*
Endobronchial seminoma; Metastatic seminoma; Seminoma; Seminoma endobronquial; Seminoma metastásico; Superior vena cava syndrome; Síndrome de vena cava superior