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Metastatic testicular germ cell tumor with left atrial metastasis via the right pulmonary vein
  • Anish Adhikari,
  • Suchet Kumar,
  • Steven Fein
Anish Adhikari
Albany Medical Center
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Suchet Kumar
Albany Medical Center
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Steven Fein
Albany Medical Center Hospital
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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.