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BMJ Case Reports 2017; doi:10.1136/bcr-2017-220677
  • Images in…

IVC tumoural thrombosis: an unusual complication of testicular tumour

  1. Ruchir Aeron
  1. Department of Urology, King George's Medical University, Lucknow, India
  1. Correspondence to Dr Sunny Goel, drsunnygoel09{at}gmail.com
  • Accepted 8 June 2017
  • Published 14 July 2017

Description

A 30-year-old man presented with right scrotal mass and bilateral leg oedema for the last 3 months. CT scan showed a heterogeneously enhancing lesion in the right testis with retroperitoneal and mediastinal lymph node (LN) mass with enhancing tumorous thrombus filling the common iliac veins and inferior vena cava (IVC) up to the infrahepatic region with pulmonary metastases (figure 1). The preoperative tumour markers including lactate dehydrogenase, alpha-fetoprotein and human chorionic gonadotropin were 2270 U/L, 28 214 ng/mL and 6253 mIU/mL, respectively. High inguinal orchidectomy was carried out which revealed mixed germ cell tumour …

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