title: Pulmonary embolism as the initial presentation of testicular carcinoma.
abstract: Objective. The risk of pulmonary embolism is well recognized as showing an increase in oncological patients. We report a case presenting with pulmonary embolism initially, which was then diagnosed with testicular cancer. Clinical Presentation and Intervention. A 25-year-old man was admitted to the emergency department with a complaint of dyspnoea. Thoracic tomography, lung ventilation/perfusion scintigraphy, and an increased D-dimer level revealed pulmonary embolism. For the aetiology of pulmonary embolism, a left orchiectomy was performed and the patient was diagnosed with a germinal cell tumour of the testicle. Conclusion. In this paper, we present a patient for whom pulmonary embolism was the initial presentation, and a germinal cell tumour was diagnosed later during the search for the aetiology.
authors.affiliation: Department of Hematology, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Ilhami
authors.initials: I
authors.lastname: Berber
authors.affiliation: Internal Medicine, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Recep
authors.initials: R
authors.lastname: Bentli
authors.affiliation: Department of Hematology, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Erkurt
authors.affiliation: Department of Nephrology, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Ozkan
authors.initials: O
authors.lastname: Ulutas
authors.affiliation: Department of Urology, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Caner
authors.initials: C
authors.lastname: Ediz
authors.affiliation: Department of Hematology, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Ilknur
authors.initials: I
authors.lastname: Nizam
authors.affiliation: Department of Chest, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Nurcan
authors.initials: N
authors.lastname: Kırıcı Berber
authors.affiliation: Department of Radiology, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Unlu
authors.affiliation: Department of Nuclear, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Reyhan
authors.initials: R
authors.lastname: Koroglu
authors.affiliation: Department of Hematology, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Koroglu
authors.affiliation: Department of Pathology, Faculty of Medicine, Inonu University, 44280 Malatya, Turkey.
authors.forename: Nusret
authors.initials: N
authors.lastname: Akpolat