This is the first case report describing brachiocephalic vein thrombosis without compression by a metastatic tumour during chemotherapy for testicular cancer.
According to previous reports of testicular cancer patients with a major thrombus, anticoagulant therapy was required to resolve all cases. However, in the present case, a major thrombus in the brachiocephalic vein disappeared without anticoagulant therapy. This 42-year-old man was diagnosed with testicular seminoma and multiple metastases to the para-aortic lymph nodes. After 3 cycles of cisplatin, etoposide and bleomycin (PEB) therapy, a major thrombus in the right brachiocephalic vein was recognized on a computed tomography (CT) scan. Although no anticoagulant therapy was undertaken, the thrombus in the right brachiocephalic vein was no longer visible on CT after the fourth cycle of PEB therapy.
Written by:
Hongo H, Ide H, Hoshino K, Yasumizu Y, Uchida Y, Masuda T. Are you the author?
Saitama Municipal Hospital, Department of Urology, Saitama Municipal Hospital, Mimuro, Midori-ku, Saitama City, Saitama, Japan.
Reference: Can Urol Assoc J. 2013 Mar;7(3-4):E241-3.
doi: 10.5489/cuaj.545
PubMed Abstract
PMID: 23671534
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