Disappearance of a major thrombus in the brachiocephalic vein without anticoagulant therapy in a patient with seminoma - a case report

Authors

  • Hiroshi Hongo Saitama Municipal Hospital, Department of Urology, Saitama Municipal Hospital, Mimuro, Midori-ku, Saitama City, Saitama, Japan
  • Hiroki Ide Saitama Municipal Hospital, Department of Urology, Saitama Municipal Hospital, Mimuro, Midori-ku, Saitama City, Saitama, Japan
  • Katsura Hoshino Saitama Municipal Hospital, Department of Urology, Saitama Municipal Hospital, Mimuro, Midori-ku, Saitama City, Saitama, Japan
  • Yota Yasumizu Saitama Municipal Hospital, Department of Urology, Saitama Municipal Hospital, Mimuro, Midori-ku, Saitama City, Saitama, Japan
  • Yasumitsu Uchida Saitama Municipal Hospital, Department of Urology, Saitama Municipal Hospital, Mimuro, Midori-ku, Saitama City, Saitama, Japan
  • Takeshi Masuda Saitama Municipal Hospital, Department of Urology, Saitama Municipal Hospital, Mimuro, Midori-ku, Saitama City, Saitama, Japan

DOI:

https://doi.org/10.5489/cuaj.545

Abstract

This is the first case report describing brachiocephalic vein thrombosis without compression by a metastatic tumor 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 three cycles of cisplatin, etoposide, and bleomycin (PEB) therapy, a major thrombus in the right brachiocephalic vein was recognized on a CT scan. Although no anticoagulant therapy was undertaken, the thrombus in the right brachiocephalic vein was no longer visible on CT after the 4th cycle of PEB therapy.

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Published

2013-04-16

How to Cite

Hongo, H., Ide, H., Hoshino, K., Yasumizu, Y., Uchida, Y., & Masuda, T. (2013). Disappearance of a major thrombus in the brachiocephalic vein without anticoagulant therapy in a patient with seminoma - a case report. Canadian Urological Association Journal, 7(3-4), e241–3. https://doi.org/10.5489/cuaj.545

Issue

Section

Case Report