Mixed Germ Cell Testicular Cancer with Left Ventricular Metastasis Presenting with Embolic Stroke and Small Bowel Tumor Seeding | Zendy

Srinath Sundararajan | Zendy; Beth L. Braunhut | Zendy; Frederick R. Ahmann | Zendy; Amit Agarwal | Zendy

Open Access

Mixed Germ Cell Testicular Cancer with Left Ventricular Metastasis Presenting with Embolic Stroke and Small Bowel Tumor Seeding

Author(s) -

Srinath Sundararajan,

Beth L. Braunhut,

Frederick R. Ahmann,

Amit Agarwal

Publication year - 2014

Publication title -

case reports in oncological medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.173

H-Index - 7

eISSN - 2090-6714

pISSN - 2090-6706

DOI - 10.1155/2014/250531

Subject(s) - intracardiac injection , medicine , metastasis , bowel perforation , germ cell tumors , stroke (engine) , pathology , perforation , testicular cancer , cancer , complication , chemotherapy , mechanical engineering , materials science , engineering , punching , metallurgy

Testicular germ cell tumors (GCTs) metastasize in a very predictable fashion involving the retroperitoneal nodes first followed by hematogenous spread to distant organs like lungs, liver, and brain. Metastasis to heart is an extremely rare entity for GCT and fewer than 20 cases have been reported in the literature so far. We have summarized here a unique case of nonseminomatous germ cell tumor (NSGCT) with intracardiac metastasis resulting in systemic macroembolization to liver, spleen, brain, bowel and musculoskeletal tissues. This led to multiple adverse sequelae including ischemic stroke and bowel perforation.

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