Cardiac Murmur Prompting Diagnosis of Metastatic Nonseminomatous Germ Cell Testicular Neoplasia in an 18-Year-Old Patient | Zendy

Steve Y. Chung | Zendy; Benjamin Davies | Zendy; Sheldon Bastacky | Zendy; Dilip Gupta | Zendy; Charles R. Pound | Zendy

Open Access

Cardiac Murmur Prompting Diagnosis of Metastatic Nonseminomatous Germ Cell Testicular Neoplasia in an 18-Year-Old Patient

Author(s) -

Steve Y. Chung,

Benjamin Davies,

Sheldon Bastacky,

Dilip Gupta,

Charles R. Pound

Publication year - 2005

Publication title -

the scientific world journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.453

H-Index - 93

eISSN - 2356-6140

pISSN - 1537-744X

DOI - 10.1100/tsw.2005.3

Subject(s) - medicine , testicular cancer , inferior vena cava , renal cell carcinoma , thrombus , germ cell tumors , radiology , chemotherapy , renal vein , cardiology , kidney

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.

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