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SUCCESSFUL TREATMENT OUTCOME OF A PEDIATRIC MALIGNANT GERM CELL TUMOR WITH AN EXTENSIVE CAVO-ATRIAL TUMOR THROMBUS PRESENTING AS AN ONCOLOGICAL EMERGENCY
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  • Sai Shiva G,
  • Prasanth V R,
  • Rajani Lilly Cheriyan,
  • Ajay Sankar,
  • Manjusha Nair,
  • Binitha Rajeswari,
  • Guruprasad C S,
  • Kalasekhar Vijayasekharan,
  • Baiju S. Dharan,
  • Priyakumari Thankamony
Sai Shiva G
Regional Cancer Centre Thiruvananthapuram
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Prasanth V R
Regional Cancer Centre Thiruvananthapuram
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Rajani Lilly Cheriyan
Regional Cancer Centre Thiruvananthapuram
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Ajay Sankar
Regional Cancer Centre Thiruvananthapuram
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Manjusha Nair
Regional Cancer Centre Thiruvananthapuram
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Binitha Rajeswari
Regional Cancer Centre Thiruvananthapuram
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Guruprasad C S
Regional Cancer Centre Thiruvananthapuram
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Kalasekhar Vijayasekharan
Regional Cancer Centre Thiruvananthapuram
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Baiju S. Dharan
Sree Chitra Tirunal Institute for Medical Sciences and Technology Cardiology Department
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Priyakumari Thankamony
Regional Cancer Centre Thiruvananthapuram

Corresponding Author:drpriyarcc@gmail.com

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Abstract

Pediatric germ cell tumor(GCT) with extensive tumor thrombus of inferior vena cava(IVC) presenting as an oncological emergency is extremely rare .Thirteen months female child with sacrococcygeal GCT having IVC and right atrial thrombus presenting with anasarca and respiratory distress is reported. Due to worsening symptoms post initiation of chemotherapy tumour thrombus debulking from right atrium and distal end of IVC was performed on day 9 on emergency basis. Her symptoms improved and after planned chemotherapy tumor excision with coccygectomy could be done. The IVC thrombus remained inoperable due to sclerosis. She remains recurrent-free now 12 months post therapy.