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Japanese Journal of Clinical Oncology Advance Access originally published online on June 24, 2007
Japanese Journal of Clinical Oncology 2007 37(6):463-468; doi:10.1093/jjco/hym045
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© 2007 Foundation for Promotion of Cancer Research

Both-sided Intra-atrial Intracardiac Metastases as the Initial Presentation of Testicular Seminoma

Jae-Cheol Jo, Dae Ho Lee, Byung Wook Kang, Sung Sook Lee, Sun Jin Sym, Min Kyoung Kim, Jin-Hee Ahn, Jae-Lyun Lee, Sang-We Kim, Cheolwon Suh, Yoon-Koo Kang and Jung-Shin Lee

Division of Oncology, Department of Internal Medicine, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea

For reprints and all correspondence: Dae Ho Lee, Division of Oncology, Department of Internal Medicine, University of Ulsan, College of Medicine, Asan Medical Center, 388-1 Pungnap-2 dong, Songpa-gu, Seoul, 138-736, Korea. E-mail: leedaeho{at}amc.seoul.kr

Received December 14, 2006; accepted January 20, 2007

We report a case of a 41-year-old man admitted with respiratory distress and found to have masses in both atria of the heart and in the testicle. The patient received palliative radiotherapy to relieving obstruction of blood flow tract caused by the intracardiac masses, followed by radical orchiectomy. After the diagnosis of testicular seminoma, he was treated successfully with 4 cycles of systemic chemotherapy. This is a rare case that presented with metastatic testicular seminoma involving both atria of heart and causing symptomatic obstruction of blood flow tract.

Key Words: testicular cancer • seminoma • intra-atrial intracardiac mass


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