Testicular Neoplasm Presenting
as a Major Pulmonary Embolism

Haab, F.; Cour, F.; A, Boutan Laroze; Squara, Pierre; Lucas, García de

doi:10.1159/000473804

Cited by 7 publications

(2 citation statements)

References 5 publications

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“…[20][21][22][23][24][25] Patients who develop cough, chest pain, dyspnea, hemoptysis, hypoxemia or evidence of pulmonary hypertension and acute right heart strain therefore require thorough evaluation.…”

Section: Respiratorymentioning

confidence: 99%

Acute presentation of choriocarcinoma: a case study and review of the literature

Worster

Sharma

Mookadam

et al. 2002

CJEM

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We report an unusual case of a 27-year-old male with an acute presentation of choriocarcinoma. The patient presented with unstable vital signs, severe anemia and a widened arterial pulse pressure following a several day history of testicular pain. He was subsequently diagnosed as having testicular choriocarcinoma with multiple hepatic metastases and large hemorrhagic para-aortic lymph nodes. The widened pulse pressure persisted during fluid resuscitation and correction of both the anemia and hypotension, and only narrowed after the initiation of chemotherapy. A literature review indicates that metastatic testicular choriocarcinoma is a rare but aggressive malignancy that often presents with acute symptoms and signs that cause patients to seek emergency care. We summarize the reported cases of "acute" testicular choriocarcinoma presentation and briefly discuss its relationship to widened arterial pulse pressure. RÉSUMÉNous présentons un cas inhabituel de présentation aiguë d'un choriocarcinome chez un homme âgé de 27 ans. Le patient avait été reçu à l'urgence pour des signes vitaux instables, une anémie sévère et une augmentation de sa tension artérielle différentielle découlant d'une douleur testiculaire installée depuis plusieurs jours. On diagnostiqua par la suite un choriocarcinome du testicule accompagné de métastases hépatiques multiples et de ganglions para-aortiques tuméfiés et hémorragiques. L'augmentation de la tension artérielle différentielle persista au cours de la réani-mation liquidienne et de la correction de l'anémie et de l'hypotension et diminua seulement après le début de la chimiothérapie. Une revue de la littérature indique que le choriocarcinome métastatique du testicule est un cancer rare mais virulent souvent accompagné de signes et symptômes aigus qui incitent le patient à obtenir des soins d'urgence. Nous résumons les cas signalés de présentation «aiguë» de choriocarcinome du testicule et discutons brièvement de sa relation avec l'augmentation de la tension artérielle différentielle.

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Section: Respiratorymentioning

confidence: 99%

Acute presentation of choriocarcinoma: a case study and review of the literature

Worster

Sharma

Mookadam

et al. 2002

CJEM

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“…Around 10% of patients will present with symptoms of metastatic disease. The commonest sites for secondary spread are lung (89%) giving dyspnoea or cough, liver (73%), kidney (31%), bone (30%) and brain (30%) (12) although a plethora of rarer presentations have all been reported (13)(14)(15)(16)(17)(18).…”

Section: Discussionmentioning

confidence: 99%

An Unusual Presentation Of Metastatic Testicular Tumour

Barton¹,

Ashdown²,

Ganta³

et al. 2005

J R Army Med Corps

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We report a unique case of metastatic malignant teratoma from an undescended testis which presented with acute pulmonary embolism. After chemotherapy, the undescended right testicle was resected along with a cord of non-obstructing inferior venal caval tumour which extended into the right atrium with tumour floating free within the atrium at the end of the cord of tumour.The presentation, diagnosis and treatment of testicular tumours is described and the literature pertaining to testicular tumours in military personnel reviewed.

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