Rare Presentation of Testicular Cancer With Malignant Tumor Thrombus: A Case Report.

Autor: Khushaym AH; Urology, King Hamad University Hospital, Busaiteen, BHR., Aljeeran N; Urology, King Hamad University Hospital, Busaiteen, BHR., Alabbasi L; Internal Medicine, King Hamad University Hospital, Busaiteen, BHR.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Sep 21; Vol. 16 (9), pp. e69857. Date of Electronic Publication: 2024 Sep 21 (Print Publication: 2024).
DOI: 10.7759/cureus.69857
Abstrakt: In rare cases, testicular cancer can metastasize to the inferior vena cava (IVC) through a tumor thrombus, significantly worsening the prognosis. This case report describes the management and the outcome of a rare presentation of testicular cancer. A 38-year-old male presented with a testicular mass and was found to have a mixed germ cell tumor with predominantly yolk sac components. Imaging after the initial orchiectomy revealed an IVC tumor thrombus extending from the left renal vein, as well as retroperitoneal and pulmonary metastases. The patient was urgently started on anticoagulation and underwent three cycles of BEP chemotherapy (bleomycin, etoposide, and cisplatin), which led to complete metabolic and radiographic regression of the metastatic disease.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Khushaym et al.)
Databáze: MEDLINE