Case Report: Cardiac Metastases in a Non-Seminomatous Tumor

Abstract

Germ cell tumors are the most prevalent malignancy in young males commonly formed in the testicles. Primary mediastinal non-seminomatous germ cell tumors are rare, they tend to be aggressive and have unsatisfactory outcomes. Non-seminomatous cell tumors, it is the most likely testicular cancer to cause metastasis. Symptoms such as giddiness, fainting, fatigue, shortness of breath and chest discomfort are potential presentations in the emergency department on cardiac metastases. Primary mediastinal non-seminomatous germ cell tumor are considered high risk. Treatment is based on the underlying pathology, usually chemotherapy followed by surgery. Rare cases like this need to be reported and further studied to give patients better expectancy when diagnosed. The bad surveillance rate of 40 to 45% survival at 5 years and less than 10% overall is mostly due to the lack of response to aggressive chemotherapy and the concomitant pathologies that this presentation.