Dada M A, Van Velden D J
Department of Anatomical Pathology, University of Stellenbosch/Tygerberg Hospital, Cape Province, South Africa.
Med Sci Law. 1995 Oct;35(4):357-9. doi: 10.1177/002580249503500416.
Most cases of sudden unexpected 'natural' death are due to primary disorders of the cardiovascular, respiratory and central nervous system. Sudden death due to a previously undiagnosed malignancy is rare in young, apparently healthy subjects. We report an unusual cause of sudden unexpected death due to pulmonary tumour embolism complicating an undiagnosed germ cell tumour of the testis in a 37-year-old white male. Although death due to testicular tumours is not uncommon in young adult males, it rarely follows pulmonary embolism secondary to inferior vena cava (IVC) tumour invasion. A review of the literature revealed four other cases with a similar mechanism of death.
大多数突发意外“自然”死亡病例是由心血管、呼吸和中枢神经系统的原发性疾病引起的。在年轻、看似健康的受试者中，因先前未被诊断出的恶性肿瘤导致的猝死很少见。我们报告了一例不寻常的突发意外死亡原因，一名37岁白人男性因肺肿瘤栓塞并发未被诊断出的睾丸生殖细胞肿瘤死亡。虽然睾丸肿瘤导致的死亡在年轻成年男性中并不罕见，但继发于下腔静脉（IVC）肿瘤侵犯的肺栓塞导致的死亡却很少见。文献回顾发现了另外4例具有类似死亡机制的病例。
