Cardiac murmur prompting diagnosis of metastatic nonseminomatous germ cell testicular neoplasia in an 18-year-old patient

Most retroperitoneal tumors such as renal cell carcinoma have been associated with tumor thrombus extending into the renal vein, inferior vena cava (IVC), and heart. The retroperitoneal metastatic potential of testicular tumors is well known. We report here the first instance of a cardiac murmur pro...

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Bibliographic Details
Published inTheScientificWorld Vol. 5; pp. 1 - 4
Main Authors Chung, Steve Y, Davies, Benjamin, Bastacky, Sheldon, Gupta, Dilip, Pound, Charles R
Format Journal Article
LanguageEnglish
Published United States TheScientificWorldJOURNAL 01.01.2005
Hindawi Limited
Subjects
Adolescent
Case Study
Germinoma - diagnosis
Germinoma - pathology
Germinoma - surgery
Heart Murmurs - diagnosis
Heart Murmurs - etiology
Heart Neoplasms - diagnosis
Heart Neoplasms - secondary
Heart Neoplasms - surgery
Humans
Male
Orchiectomy
Testicular Neoplasms - diagnosis
Testicular Neoplasms - pathology
Testicular Neoplasms - surgery
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Summary:Most retroperitoneal tumors such as renal cell carcinoma have been associated with tumor thrombus extending into the renal vein, inferior vena cava (IVC), and heart. The retroperitoneal metastatic potential of testicular tumors is well known. We report here the first instance of a cardiac murmur prompting diagnosis of metastatic testicular neoplasia in an 18-year-old patient. Chemotherapy was delayed and after successful surgical resection of the ventricular mass, the patient recovered uneventfully. This case underscores the need to pursue abnormal cardiac exams in newly diagnosed testicular cancer patients.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1537-744X
2356-6140
1537-744X
DOI:10.1100/tsw.2005.3