Department of Urology, University of California, San Francisco, CA 94143–0738, USA.
Urology. 2011 Jan;77(1):70. doi: 10.1016/j.urology.2010.02.014.
A 24-year-old male with mixed germ cell tumor after orchiectomy received chemotherapy for abdominal and thoracic lymphadenopathy. Follow-up imaging revealed residual disease in the retroperitoneum as well as thrombus within his inferior vena cava. At surgery, the mass was palpable within the inferior vena cava. After vascular control both proximal and distal to the intraluminal mass, a cavotomy allowed extraction of the thrombus. Final pathologic evaluation of the mass revealed mature teratoma. The surgeon must remain vigilant to the possibility of caval thrombus and be prepared for surgical removal in the cases of advanced germ cell tumors.
一位 24 岁的男性患者在睾丸切除术后患有混合生殖细胞瘤，接受了化疗以治疗腹部和胸部淋巴结病。随访影像学检查显示，腹膜后仍有残留疾病，以及下腔静脉内血栓。在手术中，可在下腔静脉内触及肿块。在对腔内肿块的近端和远端进行血管控制后，进行腔切开术以取出血栓。对肿块的最终病理评估显示为成熟畸胎瘤。外科医生必须警惕下腔静脉血栓形成的可能性，并为晚期生殖细胞瘤病例的手术切除做好准备。
