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Right atrial extension of an embryonal carcinoma of the testis
Author(s) -
Paule Bernard,
Brion Nathalie,
Grunenwald Dominique,
AndreBougaran Joëlle
Publication year - 1991
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19910701)68:1<198::aid-cncr2820680136>3.0.co;2-9
Subject(s) - medicine , contraindication , extracorporeal circulation , inferior vena cava , testicular cancer , right atrium , embryonal carcinoma , germ cell , metastasis , carcinoma , radiology , cardiology , surgery , chemotherapy , cancer , pathology , biochemistry , chemistry , alternative medicine , cellular differentiation , gene
A case of embryonal carcinoma of the testis extending into the inferior vena cava and the right atrium is presented. Tumor extension was demonstrated preoperatively by computed axial tomography. Successful resection of the intravascular and right atrial extension was achieved using extracorporeal circulation. It is concluded that intravascular and right atrial extension is not a contraindication to radical surgery. This type of metastasis raises the same therapeutic and prognostic problems as those raised by tumor masses in the lungs or lymph nodes found after chemotherapy for malignant nonseminomatous germ cell tumor of the testis.