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Park, Moon, Lim, and Park: Testicular Tumors with Tumor Thrombosis within the Inferior Vena Cava: Two Case Reports
Case Report
Uroradiology
Journal of the Korean Society of Radiology

Journal of the Korean Society of Radiology 2012; 67(3): 173-176.

Published online: 7 September 2012

DOI: https://doi.org/10.0000/jksr.2012.67.3.173

Testicular Tumors with Tumor Thrombosis within the Inferior Vena Cava: Two Case Reports

Ji Eun Park, MD, Sung Kyoung Moon, MD, Joo Won Lim, MD, Seong Jin Park, MD

Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul, Korea.

Corresponding author: Sung Kyoung Moon, MD. Department of Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul 130-872, Korea. Tel. 82-2-958-9502, Fax. 82-2-968-0787, uroradiolim@dreamwiz.com

Received 9 January 2012       Accepted 28 May 2012

Copyright © 2012 The Korean Society of Radiology

Abstract

Testicular tumors are almost all malignant tumors and can develop in younger age groups. Testicular tumors are mostly curable, with reported cases of tumor thrombosis within the inferior vena cava being rare. Two patients, aged 35 years and 37 years old complaining of testicular pain and lower abdominal pain were diagnosed with testicular tumors by ultrasound. In addition, tumor thrombus of the inferior vena cava was diagnosed concomitantly at the time of the diagnosis by computed tomography and magnetic resonance imaging. Here, we report testicular tumors accompanied by tumor thrombus, which is an extremely rare finding, with limited reports available. Pathologic diagnoses were seminoma and mixed germ cell tumors, respectively.

Keywords: Testis, Germ Cell Tumor, Tumor Thrombus, Vein

Figures and Tables

Fig. 1
A 35-year-old man with left testicular seminona.
A. Testicular ultrasonography shows a well-defined heterogenous echoic testicular mass with several extratesticular tumor nodules.
B. Multiplanar reformated image shows left testicular tumor with extensive tumor thrombi within the left renal vein, IVC, and left common iliac vein (arrows).
C, D. Coronal T1-weighted image (C) and dynamic contrast-enhanced T1-weighted image (D) show enhancing tumor thrombi within the left main renal vein, IVC and left common iliac vein (arrows).
Note.-IVC = inferior vena cava
jksr-67-173-g001
Fig. 2
A 37-year-old man with left testicular mixed germ cell tumor.
A. Scrotal ultrasonography shows a heterogeneous echoic mass in the left testis.
B. Contrast-enhanced abdominal CT shows an enhancing tumor thrombus within the inferior vena cava (arrow) and conglomerated paraaortic lymph node enlargement.
jksr-67-173-g002

References

1. Hayes-Lattin B, Nichols CR. Testicular cancer: a prototypic tumor of young adults. Semin Oncol. 2009. 36:432–438.
2. Husband JE, Bellamy EA. Unusual thoracoabdominal sites of metastases in testicular tumors. AJR Am J Roentgenol. 1985. 145:1165–1171.
3. Huyghe E, Matsuda T, Thonneau P. Increasing incidence of testicular cancer worldwide: a review. J Urol. 2003. 170:5–11.
4. Forman D, Møller H. Testicular cancer. Cancer Surv. 1994. 19-20:323–341.
5. Donohue JP, Thornhill JA, Foster RS, Rowland RG, Bihrle R. Resection of the inferior vena cava or intraluminal vena caval tumor thrombectomy during retroperitoneal lymph node dissection for metastatic germ cell cancer: indications and results. J Urol. 1991. 146:346–349.
6. Hassan B, Tung K, Weeks R, Mead GM. The management of inferior vena cava obstruction complicating metastatic germ cell tumors. Cancer. 1999. 85:912–918.
7. Bredael JJ, Vugrin D, Whitmore WF Jr. Autopsy findings in 154 patients with germ cell tumors of the testis. Cancer. 1982. 50:548–551.
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