Admitted for schedule chemotherapy
Primary right testicular cancer, stage IV (germ cell tumor) witth bilateral
s/p port-A implantation
s/p right radical orchiectomy
s/p chemotherapy wuth BEP (C3)
Hx. of pulmonary embolism under NOAC with Apixaban therapy
He was diagnosed with testicular cancer, stage IV. The initial presentation were blood tingled sputum with right lung nodule. Chest CT reported several well-defined, middly lobulated nodular lesions at RUL and right hilum. Tissue proof was done and pathology report embryonal carcinoma with mediastinal lymph nodes metastasis. Futher evaluation for primary origin was found right testicular cancer. The surgery of right radical orchiectomy was performed and pathology reported mixed germ cell tumor. Then he started to receive chemotherapy with regimen of BEP (cycle 3). He was diagnosed with pulmonary embolism with the symptoms of SOB and chest pain. He started to take Apixaban since then.
After least chemotherapy, he had fever after went home, but he denied nausea, vomiting or SOB.