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Case Reports in Oncological Medicine
Volume 2014 (2014), Article ID 250531, 5 pages
Case Report

Mixed Germ Cell Testicular Cancer with Left Ventricular Metastasis Presenting with Embolic Stroke and Small Bowel Tumor Seeding

1Department of Hematology-Oncology, University of Arizona, Tucson, AZ 85724, USA
2Department of Pathology, University of Arizona, Tucson, AZ 85724, USA

Received 13 April 2014; Accepted 4 June 2014; Published 18 June 2014

Academic Editor: Yoshihito Yokoyama

Copyright © 2014 Srinath Sundararajan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Testicular germ cell tumors (GCTs) metastasize in a very predictable fashion involving the retroperitoneal nodes first followed by hematogenous spread to distant organs like lungs, liver, and brain. Metastasis to heart is an extremely rare entity for GCT and fewer than 20 cases have been reported in the literature so far. We have summarized here a unique case of nonseminomatous germ cell tumor (NSGCT) with intracardiac metastasis resulting in systemic macroembolization to liver, spleen, brain, bowel and musculoskeletal tissues. This led to multiple adverse sequelae including ischemic stroke and bowel perforation.