Akatsuka Jun, Nemoto Kaoru, Hayashi Tatsuro, Sasaki Takashi, Kimata Ryoji, Tsuboi Narumi, Ooaki Yoshiharu, Kondo Yukihiro
The Department of Urology, Nippon Medical School Chiba Hokusou Hospital, Japan.
Hinyokika Kiyo. 2010 May;56(5):281-4.
A 31-year-old man presented with edema in left lower leg and dyspnea. Computed tomographic scanning detected a right testicular tumor, multiple lung nodules, and inferior vena cava (IVC) thrombus. After insertion of an IVC filter, high inguinal orchiectomy was performed after the first combination chemotherapy. Pathological examination demonstrated an embryonal carcinoma with vascular invasion and direct tumoral extension into the right spermatic cord. According to our survey, this is the 14th case of testicular tumor with IVC thrombus in Japan.
一名31岁男性因左下肢水肿和呼吸困难就诊。计算机断层扫描发现右侧睾丸肿瘤、多个肺结节以及下腔静脉血栓形成。植入下腔静脉滤器后，在首次联合化疗后行高位腹股沟睾丸切除术。病理检查显示为胚胎癌，伴有血管侵犯和肿瘤直接蔓延至右侧精索。根据我们的调查，这是日本第14例伴有下腔静脉血栓的睾丸肿瘤病例。
