J Korean Soc Radiol.  2012 Sep;67(3):173-176. 10.3348/jksr.2012.67.3.173.

Testicular Tumors with Tumor Thrombosis within the Inferior Vena Cava: Two Case Reports

• Park JE
• Moon SK
• Lim JW
• Park SJ

• KMID: 2097968
• DOI: http://doi.org/10.3348/jksr.2012.67.3.173

Abstract

Testicular tumors are almost all malignant tumors and can develop in younger age groups. Testicular tumors are mostly curable, with reported cases of tumor thrombosis within the inferior vena cava being rare. Two patients, aged 35 years and 37 years old complaining of testicular pain and lower abdominal pain were diagnosed with testicular tumors by ultrasound. In addition, tumor thrombus of the inferior vena cava was diagnosed concomitantly at the time of the diagnosis by computed tomography and magnetic resonance imaging. Here, we report testicular tumors accompanied by tumor thrombus, which is an extremely rare finding, with limited reports available. Pathologic diagnoses were seminoma and mixed germ cell tumors, respectively.

MeSH Terms

Abdominal Pain
Aged
Humans
Magnetic Resonance Imaging
Neoplasms, Germ Cell and Embryonal
Seminoma
Testicular Neoplasms
Testis
Thrombosis
Veins
Vena Cava, Inferior

Figure

• 

  Fig. 1 A 35-year-old man with left testicular seminona. A. Testicular ultrasonography shows a well-defined heterogenous echoic testicular mass with several extratesticular tumor nodules. B. Multiplanar reformated image shows left testicular tumor with extensive tumor thrombi within the left renal vein, IVC, and left common iliac vein (arrows). C, D. Coronal T1-weighted image (C) and dynamic contrast-enhanced T1-weighted image (D) show enhancing tumor thrombi within the left main renal vein, IVC and left common iliac vein (arrows). Note.-IVC = inferior vena cava

• 

  Fig. 2 A 37-year-old man with left testicular mixed germ cell tumor. A. Scrotal ultrasonography shows a heterogeneous echoic mass in the left testis. B. Contrast-enhanced abdominal CT shows an enhancing tumor thrombus within the inferior vena cava (arrow) and conglomerated paraaortic lymph node enlargement.

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