Jo Jae-Cheol, Lee Dae Ho, Kang Byung Wook, Lee Sung Sook, Sym Sun Jin, Kim Min Kyoung, Ahn Jin-Hee, Lee Jae-Lyun, Kim Sang-We, Suh Cheolwon, Kang Yoon-Koo, Lee Jung-Shin
Division of Oncology, Department of Internal Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Jpn J Clin Oncol. 2007 Jun;37(6):463-8. doi: 10.1093/jjco/hym045. Epub 2007 Jun 24.
We report a case of a 41-year-old man admitted with respiratory distress and found to have masses in both atria of the heart and in the testicle. The patient received palliative radiotherapy to relieving obstruction of blood flow tract caused by the intracardiac masses, followed by radical orchiectomy. After the diagnosis of testicular seminoma, he was treated successfully with 4 cycles of systemic chemotherapy. This is a rare case that presented with metastatic testicular seminoma involving both atria of heart and causing symptomatic obstruction of blood flow tract.
我们报告一例41岁男性患者，因呼吸窘迫入院，发现心脏双心房及睾丸有肿块。患者接受姑息性放疗以缓解心内肿块所致的血流通道梗阻，随后行根治性睾丸切除术。在诊断为睾丸精原细胞瘤后，他接受了4个周期的全身化疗并成功治愈。这是一例罕见的转移性睾丸精原细胞瘤病例，累及心脏双心房并导致有症状的血流通道梗阻。
