Morgentaler A, Garnick M B, Richie J P
Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
J Urol. 1988 Jul;140(1):149-50. doi: 10.1016/s0022-5347(17)41513-8.
We report a case of a teratoma thrombus within the inferior vena cava subsequent to chemotherapy for embryonal carcinoma of the testis. A review of the literature indicates that intracaval metastases occur in approximately 1 per cent of the patients with bulky retroperitoneal disease. Seminoma and embryonal carcinoma have been identified previously within the inferior vena cava, and teratoma is now added to that list. The potential lethality of teratoma owing to local growth alone is underscored by its intracaval presence in this case. We recommend close inspection of the inferior vena cava at operation for bulky disease to exclude an intracaval thrombus, as well as complete excision of all residual masses following chemotherapy for testis cancer.
我们报告一例睾丸胚胎癌化疗后下腔静脉内畸胎瘤血栓形成的病例。文献回顾表明，在有巨大腹膜后疾病的患者中，约1%会发生腔静脉内转移。此前已在下腔静脉内发现精原细胞瘤和胚胎癌，现在畸胎瘤也被列入其中。该病例中畸胎瘤位于腔静脉内，凸显了仅因局部生长而导致的潜在致死性。我们建议，对于有巨大疾病的患者，术中仔细检查下腔静脉以排除腔内血栓，并在睾丸癌化疗后彻底切除所有残留肿块。
