Metastatic testicular germ cell tumor with left atrial metastasis via
the right pulmonary vein
Abstract
We present a 37-year-old man with history of incompletely treated
testicular germ cell tumor presenting with persistent cough. Computed
tomography(CT) demonstrated a large pulmonary mass invading the
mediastinal vasculature, bronchi, and thrombus in the pulmonary vein
extending into the left atrium. Biopsy of the lung mass confirmed germ
cell tumor. Transthoracic echocardiography revealed a mass in the left
atrium, consistent with a tumor or thrombus. Systemic chemotherapy was
started with cisplatin and etoposide with curative intent.