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Testicular cancer with tumor thrombus extending to the inferior vena cava successfully removed using veno‐venous bypass: A case report
Author(s) -
Kinebuchi Yoshiaki,
Ogawa Teruyuki,
Kato Haruaki,
Igawa Yasuhiko,
Nishizawa Osamu,
Miyagawa ShinIchi
Publication year - 2007
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2007.01757.x
Subject(s) - medicine , retroperitoneal lymph node dissection , inferior vena cava , thrombus , radiology , testicular cancer , lymph node , surgery , dissection (medical) , renal cell carcinoma , pathological , chemotherapy
A 33‐year‐old man with a left testicular tumor was referred to Shinshu University Hospital for advanced therapy. Radiographic imaging revealed multiple metastases in the retroperitoneal lymph nodes (RPLN) and bilateral lungs, as well as tumor thrombus that extended from the left renal vein to the inferior vena cava (IVC) adjacent to the right atrium. After orchidectomy, a diagnosis of embryonal carcinoma was made with a clinical stage of T1N2M1bS3, which has a poor prognosis, based on the International Germ Cell Cancer Collaborative Group consensus. After eight courses of chemotherapy, the patient's tumor markers normalized and the lung metastases disappeared, but the RPLN and tumor thrombus remained. Retroperitoneal lymph node dissection and thrombectomy were performed using a veno‐venous bypass (VVB). The pathological examination of the thrombus revealed a mature teratoma. The patient has been disease‐free since surgery.