title: Right Cardiac Chambers Involvement by a Malignant Testicular Germ Cell Tumor: An Imaging-pathologic Correlation.
abstract: The cardiac chamber's involvement with neoplastic embolism has been rarely reported; it is mostly associated with gastric, breast, lung, liver, and prostate cancers, and usually affects the pulmonary arteries. This paper reports a case of a 31-year-old man with a malignant testicular germ cell tumor who presented with multiple episodes of pulmonary thromboembolism and died of sudden respiratory failure 1 year after the initial diagnosis. Death was attributed to massive pulmonary embolism and pulmonary infarction associated with a neoplastic thrombus that extended from the gonadal veins to pulmonary arteries. A postmortem computerized tomographic angiography and autopsy confirmed this finding.
authors.affiliation: Radiology Institute, Hospital of Clinics, São Paulo University Medical School, São Paulo, Brazil. Electronic address: fbpnascimento@gmail.com.
authors.forename: Felipe Barjud Pereira
authors.initials: FB
authors.lastname: do Nascimento
authors.affiliation: Radiology Department, São Paulo Cancer Institute (ICESP), São Paulo, Brazil.
authors.forename: Lilian
authors.initials: L
authors.lastname: Albieri
authors.affiliation: Radiology Institute, Hospital of Clinics, São Paulo University Medical School, São Paulo, Brazil.
authors.forename: Glaucia Aparecida
authors.initials: GA
authors.lastname: Bento Dos Santos
authors.affiliation: Department of Pathology, São Paulo University Medical School, São Paulo, Brazil.
authors.forename: Marisa
authors.initials: M
authors.lastname: Dolhnikoff
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008297:Male; D009373:Neoplasms, Germ Cell and Embryonal / Q000000981:diagnostic imaging* / Q000473:pathology / Q000556:secondary*; D009360:Neoplastic Cells, Circulating / Q000473:pathology; D011655:Pulmonary Embolism / Q000209:etiology; D011667:Pulmonary Veins; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000556:secondary*