Short report
Advanced testicular cancer presenting with phlegmasia
cerulea dolens
C Mulatero, G Brogan, R T D Oliver
Medical
Oncology Department, St Bartholomew's Hospital, London, UK
Correspondence to: Dr Clive Mulatero, Department of Medical Oncology, Christie Hospital and Holt Radium Institute, Wilmslow Road, Manchester M20 4BX, UK
Submitted 8 January
1999;
Accepted 6 September 1999
A case of fulminating deep venous thrombosis secondary to
invasion of the inferior vena cava is described in a 45 year old man
presenting with a germ cell tumour. Despite aggressive supportive care
and emergency chemotherapy his late presentation caused his death. The
case highlights the necessity for increased public education of the
attendant risks in delayed presentation with a testicular lump.
Keywords: phlegmasia cerulea dolens; testicular carcinoma
© 2000 by The Fellowship of Postgraduate Medicine
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