Successful management of intracardiac extension of tumor thrombus in a patient with advanced nonseminomatous germ cell testicular cancer

A young patient with testicular germ cell tumor presenting with inferior vena cava thrombus extending into the right heart with free-floating thrombus in the right ventricle and a simultaneous epidural spinal cord compression is presented. Due to the perceived high risk of embolization and the urgen...

Full description

Saved in:
Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 1995-12, Vol.46 (6), p.883-887
Main Authors: Savarese, Diane M.F., Rohrer, Michael J., Thomas Pezzella, A., Davidoff, Ashley, Fraire, Armando E., Menon, Mani
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Combined Modality Therapy
Germinoma - drug therapy
Germinoma - pathology
Gynecology. Andrology. Obstetrics
Heart Neoplasms - drug therapy
Heart Neoplasms - pathology
Heart Neoplasms - surgery
Heart Ventricles
Humans
Male
Male genital diseases
Medical sciences
Neoplasm Invasiveness
Neoplastic Cells, Circulating - pathology
Testicular Neoplasms - drug therapy
Testicular Neoplasms - pathology
Tumors
Vena Cava, Inferior - pathology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A young patient with testicular germ cell tumor presenting with inferior vena cava thrombus extending into the right heart with free-floating thrombus in the right ventricle and a simultaneous epidural spinal cord compression is presented. Due to the perceived high risk of embolization and the urgent need to begin systemic chemotherapy, he was managed with tumor thrombectomy utilizing cardiopulmonary bypass and hypothermic circulatory arrest followed shortly thereafter by systemic chemotherapy. There were no perioperative complications, and he is alive and without recurrence 24 months following four cycles of systemic chemotherapy.
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(99)80366-5