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Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor

BACKGROUND: Cardiac intracavitary metastases from a testicular cancer are very unusual, and intra-cardiac metastasis is exceptionally the first expression of a noncardiac primary neoplasm. We report a case of a young patient for whom a cardiac symptom led to the diagnosis of a metastatic testicular...

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Autores principales: El Ouazzani, Jamal, Beghi, Mustapha, Kossir, Amine, Ismaili, Nabila, El Ouafi, Noha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026392/
https://www.ncbi.nlm.nih.gov/pubmed/29983504
http://dx.doi.org/10.1016/j.jsha.2018.02.002
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author El Ouazzani, Jamal
Beghi, Mustapha
Kossir, Amine
Ismaili, Nabila
El Ouafi, Noha
author_facet El Ouazzani, Jamal
Beghi, Mustapha
Kossir, Amine
Ismaili, Nabila
El Ouafi, Noha
author_sort El Ouazzani, Jamal
collection PubMed
description BACKGROUND: Cardiac intracavitary metastases from a testicular cancer are very unusual, and intra-cardiac metastasis is exceptionally the first expression of a noncardiac primary neoplasm. We report a case of a young patient for whom a cardiac symptom led to the diagnosis of a metastatic testicular cancer. CASE PRESENTATION: Our presentation describes an unusual case of a 32 years-old male patient admitted for dyspnea, in whom full examination and tests led to the diagnosis of a huge right ventricular mass revealing a testicular malignant teratoma. As the mass was huge and obstructing the root of pulmonary artery, we had decided to opt for surgical treatment in order to remove the obstruction of the pulmonary trunk. Subsequently, the patient has received systemic adjuvant chemotherapy. CONCLUSIONS: Here, we describe the world's first reported case of intraventricular metastasis from a nonseminomatous germ cell tumor of the testis which occupies almost all the right ventricular volume and extending to the root of pulmonary artery that underwent surgical resection of the ventricular mass before chemotherapy.
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spelling pubmed-60263922018-07-06 Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor El Ouazzani, Jamal Beghi, Mustapha Kossir, Amine Ismaili, Nabila El Ouafi, Noha J Saudi Heart Assoc Case Report BACKGROUND: Cardiac intracavitary metastases from a testicular cancer are very unusual, and intra-cardiac metastasis is exceptionally the first expression of a noncardiac primary neoplasm. We report a case of a young patient for whom a cardiac symptom led to the diagnosis of a metastatic testicular cancer. CASE PRESENTATION: Our presentation describes an unusual case of a 32 years-old male patient admitted for dyspnea, in whom full examination and tests led to the diagnosis of a huge right ventricular mass revealing a testicular malignant teratoma. As the mass was huge and obstructing the root of pulmonary artery, we had decided to opt for surgical treatment in order to remove the obstruction of the pulmonary trunk. Subsequently, the patient has received systemic adjuvant chemotherapy. CONCLUSIONS: Here, we describe the world's first reported case of intraventricular metastasis from a nonseminomatous germ cell tumor of the testis which occupies almost all the right ventricular volume and extending to the root of pulmonary artery that underwent surgical resection of the ventricular mass before chemotherapy. Elsevier 2018-07 2018-02-24 /pmc/articles/PMC6026392/ /pubmed/29983504 http://dx.doi.org/10.1016/j.jsha.2018.02.002 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
El Ouazzani, Jamal
Beghi, Mustapha
Kossir, Amine
Ismaili, Nabila
El Ouafi, Noha
Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
title Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
title_full Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
title_fullStr Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
title_full_unstemmed Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
title_short Huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
title_sort huge right ventricular mass revealing a testicular nonseminomatous germ cell tumor
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026392/
https://www.ncbi.nlm.nih.gov/pubmed/29983504
http://dx.doi.org/10.1016/j.jsha.2018.02.002
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