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Intracardiac metastases from germ cell tumours—an unusual but important site of metastasis

Dirk Pickuth, MD Rosalind Eeles, MA, MRCP, FRCR Malcolm Mason, MRCP, FRCR Charles Pumphrey, DM, MRCP ^* Peter Goldstraw, MB, ChB, FRCS and Alan Horwich, PhD, MRCP, FRCR

Academic Unit of Radiotherapy and Oncology, The Royal Marsden Hospital, Downs Road, Sutton, Surrey SM2 5PT ^* Department of Cardiology, St George's Hospital, Blackshaw Road, London SW17 0QT Department of Thoracic Surgery, The Royal Bromptom Hospital, Sydney Street, London SW3 6NP, UK

Two cases of intracardiac deposits from testicular teratomas diagnosed by echocardiography and angiocardiography, respectively, are described. The importance of recognizing this as an uncommon site of metastasis from germ cell tumours is discussed.

Key Words: Germ cell tumours • Testicular neoplasms • Teratoma • Metastases • Heart

Received for publication September 25, 1991. Revision received January 31, 1991. Accepted for publication March 6, 1992.

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