Soukane Louisa, Bouzas Cardaci Miguel, Marechal Christelle, Van Houte Bernard, Vazquez Cesar
a CHR Val de Sambre , Sambreville , Belgium.
Acta Chir Belg. 2018 Aug;118(4):250-253. doi: 10.1080/00015458.2017.1346037. Epub 2017 Jul 5.
Testicular cancer is a rare disease, most commonly seen in young adults. It represents 1% of solid cancers in men. Inferior vena cava (IVC) thrombosis remains a rare complication of testicular cancer and is often associated with a high risk of pulmonary embolism (PE).
The authors report a case of a 26-year-old man presenting with advanced testicular cancer, left-sided retroperitoneal metastasis and parietal infiltration of the IVC complicated with thrombosis of the left iliac vein and the IVC, both responsible for PE.
A multidisciplinary management which included curative excision of the lesions, placement of a temporary IVC filter and adjuvant chemotherapy permitted an optimal approach. No complications occurred and the post-operative healing was uneventful. No recurrences were observed on the long-term follow-up.
IVC Thrombosis is a rare complication that should be taken into consideration when diagnosing testicular cancer. Prompt diagnosis is crucial to minimize the risk of PE which can be life-threatening.
睾丸癌是一种罕见疾病，多见于年轻成年人。它占男性实体癌的1%。下腔静脉（IVC）血栓形成仍然是睾丸癌的一种罕见并发症，且常与肺栓塞（PE）的高风险相关。
作者报告一例26岁男性，患有晚期睾丸癌、左侧腹膜后转移以及IVC壁浸润，并伴有左髂静脉和IVC血栓形成，二者均导致了PE。
多学科管理包括对病变进行根治性切除、放置临时IVC滤器和辅助化疗，这是一种最佳治疗方法。未发生并发症，术后愈合顺利。长期随访未观察到复发情况。
IVC血栓形成是一种罕见并发症，在诊断睾丸癌时应予以考虑。及时诊断对于将可能危及生命的PE风险降至最低至关重要。
