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Case Reports in Urology
Volume 2015, Article ID 835962, 4 pages
http://dx.doi.org/10.1155/2015/835962
Case Report

Seminoma Presenting as Renal Mass, Inferior Vena Caval Thrombus, and Regressed Testicular Mass

1Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, MO, USA
2Division of Anatomic and Molecular Pathology, Department of Pathology and Immunology, Washington University School of Medicine, Saint Louis, MO, USA

Received 20 November 2014; Revised 10 January 2015; Accepted 11 January 2015

Academic Editor: Fumitaka Koga

Copyright © 2015 Valary T. Raup 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.

Abstract

Testicular cancer is the most common malignancy of men aged 15–40. Metastatic spread classically begins with involvement of the retroperitoneal lymph nodes, with metastases to the liver, lung, bone, and brain representing advancing disease. Treatment is based on pathologic analysis of the excised testicle and presence of elevated tumor markers. We report a case of a 34-year-old male presenting with back pain who was found to have a right renal mass with tumor extension into the inferior vena cava. Subsequent biopsy was consistent with seminoma. We review this rare case and discuss the literature regarding its diagnosis and management.