Unusual Presentation of Testicular Cancer with Tumor Thrombus Extending to the Inferior Vena Cava
A 45-year-old man with a left testis tumor with a 25 mm para-aortic lymph node swelling, multiple bilateral pulmonary metastases, bilateral pulmonary embolism, and inferior vena cava (IVC) thrombus underwent a radical orchidectomy in our institution. The thrombus extended from the left gonadal vein...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2015/160560 |
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| author | Marie Dusaud Younes Bayoud François-Régis Desfemmes Benoît Molimard Xavier Durand |
| author_facet | Marie Dusaud Younes Bayoud François-Régis Desfemmes Benoît Molimard Xavier Durand |
| author_sort | Marie Dusaud |
| collection | DOAJ |
| description | A 45-year-old man with a left testis tumor with a 25 mm para-aortic lymph node swelling, multiple bilateral pulmonary metastases, bilateral pulmonary embolism, and inferior vena cava (IVC) thrombus underwent a radical orchidectomy in our institution. The thrombus extended from the left gonadal vein to the left renal vein to the IVC. The fluorine-18 fluorodeoxyglucose (f-FDG) positron emission tomography (PET) computerized tomography (CT) demonstrated a hypermetabolic focus in the retroperitoneum and in the IVC thrombus. Before orchidectomy only lactate dehydrogenase (LDH) was high but all the serum tumor markers increased postoperatively. The tumor was staged pT1N2M1aS1, which was an intermediate prognosis, based on the International Germ Cell Cancer Collaborative Group consensus (IGCCCG). After 4 courses of bleomycin, etoposide, and cisplatin (BEP) chemotherapy the patient’s tumor markers normalized and the thrombus disappeared. There was only one residual retroperitoneal lymph node M1. Retroperitoneal lymph node dissection was performed. The pathological examination revealed only necrotic tissues. The patient has been disease-free since surgery. |
| format | Article |
| id | doaj-art-e06f25eb8b7c48d8b2ab4009114ae049 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-e06f25eb8b7c48d8b2ab4009114ae0492025-02-03T05:44:24ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/160560160560Unusual Presentation of Testicular Cancer with Tumor Thrombus Extending to the Inferior Vena CavaMarie Dusaud0Younes Bayoud1François-Régis Desfemmes2Benoît Molimard3Xavier Durand4Department of Urology, Military Hospital of Val de Grâce, 74 boulevard de Port Royal, 75005 Paris, FranceDepartment of Urology, Military Hospital of Val de Grâce, 74 boulevard de Port Royal, 75005 Paris, FranceDepartment of Urology, Military Hospital of Val de Grâce, 74 boulevard de Port Royal, 75005 Paris, FranceDepartment of Urology, Military Hospital of Val de Grâce, 74 boulevard de Port Royal, 75005 Paris, FranceDepartment of Urology, Military Hospital of Val de Grâce, 74 boulevard de Port Royal, 75005 Paris, FranceA 45-year-old man with a left testis tumor with a 25 mm para-aortic lymph node swelling, multiple bilateral pulmonary metastases, bilateral pulmonary embolism, and inferior vena cava (IVC) thrombus underwent a radical orchidectomy in our institution. The thrombus extended from the left gonadal vein to the left renal vein to the IVC. The fluorine-18 fluorodeoxyglucose (f-FDG) positron emission tomography (PET) computerized tomography (CT) demonstrated a hypermetabolic focus in the retroperitoneum and in the IVC thrombus. Before orchidectomy only lactate dehydrogenase (LDH) was high but all the serum tumor markers increased postoperatively. The tumor was staged pT1N2M1aS1, which was an intermediate prognosis, based on the International Germ Cell Cancer Collaborative Group consensus (IGCCCG). After 4 courses of bleomycin, etoposide, and cisplatin (BEP) chemotherapy the patient’s tumor markers normalized and the thrombus disappeared. There was only one residual retroperitoneal lymph node M1. Retroperitoneal lymph node dissection was performed. The pathological examination revealed only necrotic tissues. The patient has been disease-free since surgery.http://dx.doi.org/10.1155/2015/160560 |
| spellingShingle | Marie Dusaud Younes Bayoud François-Régis Desfemmes Benoît Molimard Xavier Durand Unusual Presentation of Testicular Cancer with Tumor Thrombus Extending to the Inferior Vena Cava Case Reports in Urology |
| title | Unusual Presentation of Testicular Cancer with Tumor Thrombus Extending to the Inferior Vena Cava |
| title_full | Unusual Presentation of Testicular Cancer with Tumor Thrombus Extending to the Inferior Vena Cava |
| title_fullStr | Unusual Presentation of Testicular Cancer with Tumor Thrombus Extending to the Inferior Vena Cava |
| title_full_unstemmed | Unusual Presentation of Testicular Cancer with Tumor Thrombus Extending to the Inferior Vena Cava |
| title_short | Unusual Presentation of Testicular Cancer with Tumor Thrombus Extending to the Inferior Vena Cava |
| title_sort | unusual presentation of testicular cancer with tumor thrombus extending to the inferior vena cava |
| url | http://dx.doi.org/10.1155/2015/160560 |
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