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Nguyen D, Berman SS, Sabat JE. Symptomatic occlusion of the inferior vena cava and bilateral iliac veins due to malignant seminoma: Percutaneous recanalization, thrombectomy, and stenting to restore patency. J Vasc Surg Cases Innov Tech 2024; 10:101516. [PMID: 39040133 PMCID: PMC11261033 DOI: 10.1016/j.jvscit.2024.101516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 04/11/2024] [Indexed: 07/24/2024] Open
Abstract
Testicular seminoma is rarely associated with occlusive venous thrombosis. Several investigators describe percutaneous guidewire recanalization for iliofemoral vein thrombosis; however, this technique is ill-documented for occlusion of the inferior vena cava, and even less information is available on managing pervasive iliocaval obstruction. Furthermore, there is limited data on percutaneous mechanical thrombectomy for malignancy-induced venous thrombosis. We present a case of symptomatic chronic occlusion of the inferior vena cava and iliac veins following remission for metastatic seminoma, with percutaneous intervention necessitating a unique combination of sharp wire recanalization, mechanical thrombectomy, and stenting to restore iliocaval patency.
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Affiliation(s)
- Daniel Nguyen
- Pima Heart and Vascular, Tucson, AZ
- Division of Vascular and Endovascular Surgery, Department of Surgery, The University of Arizona College of Medicine, Tucson, AZ
| | - Scott S. Berman
- Pima Heart and Vascular, Tucson, AZ
- Division of Vascular and Endovascular Surgery, Department of Surgery, The University of Arizona College of Medicine, Tucson, AZ
| | - Joseph E. Sabat
- Pima Heart and Vascular, Tucson, AZ
- Division of Vascular and Endovascular Surgery, Department of Surgery, The University of Arizona College of Medicine, Tucson, AZ
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2
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Amougou B, Eyongeta D, Engbang JP, Beyeme TS, Cisse D, Ngandeu MJ, Sow Y, Diallo AB. [Paratesticular rhabdomyosarcoma: about a case and literature review]. Pan Afr Med J 2021; 39:71. [PMID: 34422194 PMCID: PMC8363974 DOI: 10.11604/pamj.2021.39.71.29224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 05/10/2021] [Indexed: 11/21/2022] Open
Abstract
Nous rapportons une observation d´un rhabdomyosarcome embryonnaire paratesticulaire chez un adulte jeune et soulignons le caractère inhabituel de cette forme histologique dans cette tranche d´âge, l´évolution rapide de la lésion ainsi que les difficultés de prise en charge de ce type de tumeurs dans notre contexte.
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Affiliation(s)
- Boris Amougou
- Département de Chirurgie et Spécialités Chirurgicales, Faculté de Médecine et des Sciences Pharmaceutiques, Université de Dschang, Dschang, Cameroun
| | - Divine Eyongeta
- Départements d´Anatomie et de Chirurgie, Faculté de Médecine, Université de Buea, Département d'Urologie, Hôpital Régional de Limbé, Limbé, Cameroun
| | - Jean Paul Engbang
- Faculté de Médecine et des Sciences Pharmaceutiques de l´Université de Douala, Douala, Cameroun
| | | | - Demba Cisse
- Faculté de Médecine et de Pharmacie de l´Université Gamal Abdel Nasser de Conakry, Conakry, Guinée
| | | | - Yaya Sow
- Faculté de Médecine, Pharmacie et Odonto-Stomatologie, Université Cheikh Anta Diop, Service d´Urologie, Hôpital Aristide Le Dantec, Dakar, Sénégal
| | - Abdoulaye Bobo Diallo
- Département de Chirurgie et Spécialités Chirurgicales, Faculté de Médecine et de Pharmacie de l´Université Gamal Abdel Nasser de Conakry, Conakry, Guinée
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3
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Guérin F, Martelli H. [Retroperitoneal lymph node assessment in pediatric paratesticular rhabdomyosarcoma]. Bull Cancer 2020; 107:666-671. [PMID: 32303361 DOI: 10.1016/j.bulcan.2020.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2018] [Revised: 02/27/2020] [Accepted: 03/16/2020] [Indexed: 10/24/2022]
Abstract
Paratesticular Rhabdomyosarcoma accounts for 7 to 11% of pediatric rhabdomyosarcomas. Children older than 10 years have a worse event-free survival (69 to 80% vs. 87 to 92%) than children younger than 10 years. In this location, the relapses are essentially in the retroperitoneal lymph nodes and are often fatal. In European protocols, the assessment of the retroperitoneal lymph nodes at diagnosis is made by imaging whereas it is performed by retroperitoneal lymph node dissection in the American protocols. This method has been proved to improve event-free survival in the group of patient older than 10 years with a tumour bigger than 5cm. In the next European protocol, when nodes will be enlarged a surgical biopsy will be performed, this will be irrespective of age or size, and when no nodes will be enlarged in patients older than 10 years, retroperitoneal lymph node assessment will be performed. Other techniques of lymph nodes assessment will be tested like sentinel node biopsies or PET-scan.
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Affiliation(s)
- Florent Guérin
- Hôpital Bicêtre, Assistance publique-Hôpitaux de Paris, université Paris-Saclay, chirurgie pédiatrique, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France.
| | - Hélène Martelli
- Hôpital Bicêtre, Assistance publique-Hôpitaux de Paris, université Paris-Saclay, chirurgie pédiatrique, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France
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Soukane L, Bouzas Cardaci M, Marechal C, Van Houte B, Vazquez C. Multidisciplinary management of testicular cancer complicated by thrombosis of the inferior vena cava: a case report. Acta Chir Belg 2018; 118:250-253. [PMID: 28678675 DOI: 10.1080/00015458.2017.1346037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
INTRODUCTION 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). CASE REPORT 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. DISCUSSION 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. CONCLUSIONS 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.
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Klebanov N, Raghavan A. Tuberculous Orchitis Following Intravesical Bacille Calmette-Guérin (BCG) Therapy. Cureus 2018; 10:e2703. [PMID: 30062077 PMCID: PMC6063386 DOI: 10.7759/cureus.2703] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Intravesical therapy with Bacillus Calmette-Guérin (BCG) is a common and effective therapy for bladder carcinoma in situ. The risks associated with intravesical BCG therapy are significant and rare. Accurate diagnosis and prompt initiation of management significantly reduce the morbidity associated with these risks. Here, we discuss a case of BCG orchitis, a rare but treatable complication of intravesical BCG therapy. We present the case of a 55-year-old Puerto Rican incarcerated male who was diagnosed with high-grade Stage T1 urothelial carcinoma after presenting with hematuria, treated with transurethral resection of bladder tumor (TURBT), mitomycin, and intravesical BCG. He presented with left testicular pain and swelling after a failed course of ciprofloxacin with ultrasound findings characteristic of BCG orchitis. The patient received a combination therapy of levofloxacin, rifampin, isoniazid, and ethambutol, which resulted in symptom resolution. Combination therapy was initiated in this patient based on a high index of clinical suspicion, and in the absence of positive cultures. Competing diagnoses were considered and excluded based on the history, imaging findings, and observed response to therapy. As this is an uncommon diagnosis, and as routine infectious workup is often inconclusive, we emphasize that early anti-tuberculous treatment should be considered given a high degree of clinical suspicion based on history and patient presentation.
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Affiliation(s)
| | - Aravind Raghavan
- Internal Medicine, Lahey Hospital and Medical Center, Burlington, USA
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Qualitative and quantitative contrast-enhanced ultrasonography for the characterisation of non-palpable testicular tumours. Clin Radiol 2018; 73:322.e1-322.e9. [DOI: 10.1016/j.crad.2017.10.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 08/15/2017] [Accepted: 10/09/2017] [Indexed: 11/17/2022]
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Dissecting the Evolving Risk of Relapse over Time in Surveillance for Testicular Cancer. Adv Urol 2018; 2018:7182014. [PMID: 29670653 PMCID: PMC5836309 DOI: 10.1155/2018/7182014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Accepted: 11/27/2017] [Indexed: 01/10/2023] Open
Abstract
Testicular cancer is the most common malignancy in young men, and the incidence is increasing in most countries worldwide. The vast majority of patients present with clinical stage I disease, and surveillance is being increasingly adopted as the preferred management strategy. At the time of diagnosis, patients on surveillance are often counselled about their risk of relapse based on risk factors present at diagnosis, but this risk estimate becomes less informative in patients that have survived a period of time without experiencing relapse. Conditional survival estimates, on the other hand, provide information on a patient's evolving risk of relapse over time. In this review, we describe the concept of conditional survival and its applications for surveillance of clinical stage I seminoma and nonseminoma germ cell tumours. These estimates can be used to tailor surveillance protocols based on future risk of relapse within risk subgroups of seminoma and nonseminoma, which may reduce the burden of follow-up for some patients, physicians, and the health care system. Furthermore, conditional survival estimates provide patients with a meaningful, evolving risk estimate and may be helpful to reassure patients and reduce potential anxiety of being on surveillance.
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Quezada Bautista A, Lara Bejarano J, García García J, Ortega-García O, Bautista Hernández M. Relapse and gastrointestinal toxicity associated with radiotherapy treatment in stage I seminoma patients. REVISTA MÉDICA DEL HOSPITAL GENERAL DE MÉXICO 2017. [DOI: 10.1016/j.hgmx.2016.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Carton de Tournai D, Deschamps L, Laly P, Zeboulon C, Bouaziz JD, Ram-Wolff C, Doumecq-Lacoste JM, Ortonne N, Rivet J, Battistella M, Bagot M. Mycosis fongoïde chalazodermique associé à un séminome testiculaire métastatique. Ann Dermatol Venereol 2017; 144:446-449. [DOI: 10.1016/j.annder.2017.03.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2016] [Revised: 02/01/2017] [Accepted: 03/03/2017] [Indexed: 11/28/2022]
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Rives N, Walschaerts M, Setif V, Hennebicq S, Saias J, Brugnon F, Auger J, Berthaut I, Szerman E, Daudin M, Bujan L. Sperm aneuploidy after testicular cancer treatment: data from a prospective multicenter study performed within the French Centre d’Étude et de Conservation des Oeufs et du Sperme network. Fertil Steril 2017; 107:580-588.e1. [DOI: 10.1016/j.fertnstert.2016.11.015] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Revised: 11/14/2016] [Accepted: 11/14/2016] [Indexed: 01/04/2023]
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Chevreau C, Gladieff L, Faure-Conter C. [Germ cell tumor in adolescents and young adults]. Bull Cancer 2016; 103:1057-1063. [PMID: 27823808 DOI: 10.1016/j.bulcan.2016.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Revised: 10/05/2016] [Accepted: 10/06/2016] [Indexed: 11/28/2022]
Abstract
Management of extracranial germ cell tumors (TG) is emblematic of the adolescents and young adults' problematic. Beyond persisting differences in care between adult and pediatric oncologists, it emphasizes the need for effective collaboration between both teams. If the therapy is primarily guided today by adult standards, pediatricians bring expertise in long-term follow-up, justified by the increasing description of late side effects in this young population, with highly curable disease since cisplatin's emergence.
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Affiliation(s)
- Christine Chevreau
- Institut Claudius-Regaud, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse, France
| | - Laurence Gladieff
- Institut Claudius-Regaud, IUCT-Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse, France
| | - Cécile Faure-Conter
- Institut d'hémato-oncologie pédiatrique, 1, place J.-Renaud, 69008 Lyon, France.
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Korenbaum C, Barthelemy P, Onea A, Salze P, Kurtz JE. "Hockey Stick" may Strike Back: Hepatocellular Carcinoma on Noncirrhotic Liver as a Late Toxicity of Lombo-Aortic Radiotherapy for Seminoma. A Review Triggered by an Unusual Case. J Clin Exp Hepatol 2016; 6:54-8. [PMID: 27194897 PMCID: PMC4862018 DOI: 10.1016/j.jceh.2015.10.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Accepted: 10/26/2015] [Indexed: 12/12/2022] Open
Abstract
Most patients with testicular seminoma have been treated with a curative intent for decades. Second cancers after radiotherapy for testicular seminoma before 1990 are a growing issue, and are related to previous generation of dose planning and delineating strategies. Among those cancers, hepatocellular carcinoma is an extremely rare occurrence, especially when affecting patients with healthy, noncirrhotic liver. Here, we describe such a case in a patient of our institution, and subsequently review the relevant literature and large epidemiologic studies. Understanding those late and serious toxicity features may help cancer care teams to screen and treat those patients appropriately.
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Affiliation(s)
- Clement Korenbaum
- Department of Oncology, University Hospital of Strasbourg, Strasbourg, France,Address for correspondence: Clement Korenbaum, département de radiothérapie, centre Paul Strauss, rue de la porte de l’hôpital, 67000 Strasbourg, France. Tel.: +33 0388252478; fax: +33 0388258508.
| | - Philippe Barthelemy
- Department of Oncology, University Hospital of Strasbourg, Strasbourg, France
| | - Alina Onea
- Department of Oncology, University Hospital of Strasbourg, Strasbourg, France,Department of Radiotherapy, Paul Strauss Cancer Center, Strasbourg, France
| | - Pierre Salze
- Department of Radiotherapy, Paul Strauss Cancer Center, Strasbourg, France
| | - Jean-Emmanuel Kurtz
- Department of Oncology, University Hospital of Strasbourg, Strasbourg, France
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Lebacle C, Gizzi M, Michot JM, Lambotte O, Ackermann F, Lazure T, Massard C. Late recurrent testicular seminoma: histological evidence is required. Oncol Res Treat 2015; 38:286-8. [PMID: 26045025 DOI: 10.1159/000430794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Accepted: 03/27/2015] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Over the past 3 decades, the appropriate management of metastatic germ cell tumours (GCT) has been defined by several phase III trials. Many follow-up recommendations have been published based on expert consensus. However, common clinical scenarios can still be vexing for clinicians who are less experienced at managing patients with testicular cancer. CASE REPORT We highlight the arduous diagnostic work-up of a suspected late relapsing metastatic GCT in a patient suffering from fatigue, weight loss and prominent retroperitoneal lymph nodes, 4 years after first-line chemotherapy for metastatic seminoma. The various explorations finally led to the diagnosis of Whipple's disease. CONCLUSION This unusual clinical case strongly highlights the need to perform an exhaustive evaluation, with a biopsy, if a late recurrent GCT is suspected to avoid pointless and potentially harmful treatment.
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Affiliation(s)
- Cedric Lebacle
- Department of Cancer Medicine, Gustave-Roussy Cancer Campus, Villejuif, France
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Zores T, Mouracade P, Duclos B, Saussine C, Lang H, Jacqmin D. Surveillance des séminomes testiculaires de stade I : résultats oncologiques sur 20ans. Prog Urol 2015; 25:282-7. [DOI: 10.1016/j.purol.2015.01.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Accepted: 01/13/2015] [Indexed: 11/30/2022]
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Avances C, Camparo P, Durand X, Flechon A, Murez T, Sebe P, Soulie M, Rigaud J. [Management of testicular teratoma: update by the Oncology Committee of the French Urology Association, section of External Genital Organs (CCAFU-OGE)]. Prog Urol 2014; 24:1050-3. [PMID: 25199728 DOI: 10.1016/j.purol.2014.07.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2014] [Revised: 07/04/2014] [Accepted: 07/17/2014] [Indexed: 01/15/2023]
Abstract
INTRODUCTION The objective of this article was to focus on the pathological, clinical and therapeutic aspects of the different forms of testicular teratoma in adults. MATERIAL AND METHODS The multidisciplinary working group has conducted a literature search on Pubmed with keywords: adult teratoma; malignant transformation; growing teratoma; chemotherapy; surgery with focus on the different forms of adult testicular teratoma. RESULTS Teratomas of the adults are malignant and subdivided into localized and metastatic forms that may be distinguished under exclusive teratoma form, growing teratoma or teratoma with malignant transformation. The management is based on an enlarged surgical excision (testis and metastasis) with, in metastatic forms, a chemotherapy adjusted with histology. Extended follow-up beyond 10 years is necessary because of the risk of late relapse. CONCLUSIONS Testicular teratoma is a rare tumor, which is considered malignant with a potential of metastasis. The treatment is based mainly on surgical management.
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Affiliation(s)
- C Avances
- Service d'urologie, clinique Kennedy, 30000 Nîmes, France
| | - P Camparo
- Centre de pathologie, 80000 Amiens, France
| | - X Durand
- Service d'urologie, hôpital Val-de-Grâce, 75014 Paris, France
| | - A Flechon
- Service d'oncologie médicale, centre Léon-Bérard, 69008 Lyon, France
| | - T Murez
- Service d'urologie, hôpital Lapeyronie, 34295 Montpellier, France
| | - P Sebe
- Service d'urologie, groupe hospitalier Diaconnesses Croix Saint-Simon, 75012 Paris, France
| | - M Soulie
- Service d'urologie, hôpital de Rangueil, 31059 Toulouse, France
| | - J Rigaud
- Service d'urologie, hôpital hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France.
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Quiñonez MAL. Uso de la quimioterapia en cáncer testicular de células germinales. UROLOGÍA COLOMBIANA 2014. [DOI: 10.1016/s0120-789x(14)50040-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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