Surgical management of retroperitoneal metastatic testicular tumor with inferior vena caval thrombus using cardiopulmonary bypass, arrested circulation, and profound hypothermia: a case report

Testicular tumors represent the most common type of solid neoplasia in men aged between 18 and 35 years. Its cure rate is approximately 90% (1,2). In some cases, tumoral vascular invasion can occur and demands surgical ressection to stop disease progression and prevent thromboembolic events. That is the only valuable therapeutic choice although it is a high risk procedure. We present a case report of a patient who underwent successful chemotherapy and surgery for a right-sided testicular tumor associated with an inferior vena cava tumor thrombus extending from the renal vein to the right atrium and extensive retroperitoneal lymph node disease. (C) 2008 AEU. Published by Elsevier Espana, S.L. All rights reserved.3391032103