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Volume 5, Pages 1-4
Case Study

Cardiac Murmur Prompting Diagnosis of Metastatic Nonseminomatous Germ Cell Testicular Neoplasia in an 18-Year-Old Patient

1Minimally Invasive Urology Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA
2Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
3Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Received 2 November 2004; Revised 8 December 2004; Accepted 14 January 2005

Copyright © 2005 Steve Y. Chung et al.


Most retroperitoneal tumors such as renal cell carcinoma have been associated with tumor thrombus extending into the renal vein, inferior vena cava (IVC), and heart. The retroperitoneal metastatic potential of testicular tumors is well known. We report here the first instance of a cardiac murmur prompting diagnosis of metastatic testicular neoplasia in an 18-year-old patient. Chemotherapy was delayed and after successful surgical resection of the ventricular mass, the patient recovered uneventfully. This case underscores the need to pursue abnormal cardiac exams in newly diagnosed testicular cancer patients.