Renal vein thrombosis due to metastatic germ cell tumor, report of a case with a very rare clinical scenario

Abstract Background Renal metastasis is a rare manifestation of germ cell tumors. Extension of malignant lesions into the renal vein can complicate the scenario. Case This report presents a 35‐year‐old man with primary stage IS NSGCT. Fourteen months after radical orchiectomy he presented with metas...

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Main Authors: Hamidreza Ghorbani, Ali Emadi Torghabeh, Mahdi Farzadnia, Alireza Golshan, Parisa Rabiei
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.1910
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author Hamidreza Ghorbani
Ali Emadi Torghabeh
Mahdi Farzadnia
Alireza Golshan
Parisa Rabiei
author_facet Hamidreza Ghorbani
Ali Emadi Torghabeh
Mahdi Farzadnia
Alireza Golshan
Parisa Rabiei
author_sort Hamidreza Ghorbani
collection DOAJ
description Abstract Background Renal metastasis is a rare manifestation of germ cell tumors. Extension of malignant lesions into the renal vein can complicate the scenario. Case This report presents a 35‐year‐old man with primary stage IS NSGCT. Fourteen months after radical orchiectomy he presented with metastasis in the lung, kidney, and para‐aortic lymph nodes. He received multiple lines of salvage treatments including chemotherapy and surgery. Intraoperative exploration during radical nephrectomy and retroperitoneal lymphadenectomy revealed intra‐renal vein involvement with a prominent teratomatous component. Conclusion Defining the exact extent of malignant lesions, especially endovascular lesions, is very important to clarify how advanced the malignant lesions are. The surgeons must be aware of the risk factors that predict vascular involvement, and therefore, providing intraoperative access to vascular surgery procedures when needed.
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spelling doaj.art-6d74c577ff9346acb1b3f5d949a52cd92024-01-26T14:41:21ZengWileyCancer Reports2573-83482023-12-01612n/an/a10.1002/cnr2.1910Renal vein thrombosis due to metastatic germ cell tumor, report of a case with a very rare clinical scenarioHamidreza Ghorbani0Ali Emadi Torghabeh1Mahdi Farzadnia2Alireza Golshan3Parisa Rabiei4Kidney Transplantation Complications Research Center Mashhad University of Medical Sciences Mashhad IranCancer Research Center Mashhad University of Medical Sciences Mashhad IranDepartment of Pathology Mashhad University of Medical Sciences Mashhad IranKidney Transplantation Complications Research Center Mashhad University of Medical Sciences Mashhad IranCancer Research Center Mashhad University of Medical Sciences Mashhad IranAbstract Background Renal metastasis is a rare manifestation of germ cell tumors. Extension of malignant lesions into the renal vein can complicate the scenario. Case This report presents a 35‐year‐old man with primary stage IS NSGCT. Fourteen months after radical orchiectomy he presented with metastasis in the lung, kidney, and para‐aortic lymph nodes. He received multiple lines of salvage treatments including chemotherapy and surgery. Intraoperative exploration during radical nephrectomy and retroperitoneal lymphadenectomy revealed intra‐renal vein involvement with a prominent teratomatous component. Conclusion Defining the exact extent of malignant lesions, especially endovascular lesions, is very important to clarify how advanced the malignant lesions are. The surgeons must be aware of the risk factors that predict vascular involvement, and therefore, providing intraoperative access to vascular surgery procedures when needed.https://doi.org/10.1002/cnr2.1910mixed germ cell tumorrenal vein thrombosisteratomatesticular neoplasms
spellingShingle Hamidreza Ghorbani
Ali Emadi Torghabeh
Mahdi Farzadnia
Alireza Golshan
Parisa Rabiei
Renal vein thrombosis due to metastatic germ cell tumor, report of a case with a very rare clinical scenario
Cancer Reports
mixed germ cell tumor
renal vein thrombosis
teratoma
testicular neoplasms
title Renal vein thrombosis due to metastatic germ cell tumor, report of a case with a very rare clinical scenario
title_full Renal vein thrombosis due to metastatic germ cell tumor, report of a case with a very rare clinical scenario
title_fullStr Renal vein thrombosis due to metastatic germ cell tumor, report of a case with a very rare clinical scenario
title_full_unstemmed Renal vein thrombosis due to metastatic germ cell tumor, report of a case with a very rare clinical scenario
title_short Renal vein thrombosis due to metastatic germ cell tumor, report of a case with a very rare clinical scenario
title_sort renal vein thrombosis due to metastatic germ cell tumor report of a case with a very rare clinical scenario
topic mixed germ cell tumor
renal vein thrombosis
teratoma
testicular neoplasms
url https://doi.org/10.1002/cnr2.1910
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