Mature testicular teratoma with vena caval invasion presenting as pulmonary embolism.

Kwok, C K; Horowitz, M D; Livingstone, A S; Block, N L · J Urol · 1993

case_report · Level V

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Abstract

We report a case of mature testicular teratoma with invasion and thrombosis of the inferior vena cava that presented as recurrent pulmonary embolism. Treatment included radical orchiectomy, chemotherapeutic cytoreduction and, finally, resection of a massive retroperitoneal tumor with en bloc resection of the inferior vena cava using cardiopulmonary bypass and deep hypothermic circulatory arrest. Management is discussed and the literature is reviewed.

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