Rapidly Progressing Renal Cell Carcinoma With Unexpected Inferior Vena Cava Tumor Thrombus

被引：0
|
作者：
Iwagami, Sohei [1 ]
Nishihata, Masaya [1 ]
Yamashita, Shimpei [2 ]
Hara, Isao [2 ]
Kojima, Fumiyoshi [3 ]
Kohjimoto, Yasuo [2 ]
机构：
[1] Kishiwada Tokushukai Hosp, Dept Urol, Kishiwada, Japan
[2] Wakayama Med Univ, Dept Urol, Wakayama, Japan
[3] Wakayama Med Univ, Dept Human Pathol, Wakayama, Japan
来源：
IJU CASE REPORTS | 2025年
关键词：
rapid progression; renal cell carcinoma; surgery; tumor thrombus; SURGICAL-MANAGEMENT; GROWTH;
D O I：
10.1002/iju5.70014
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
IntroductionWe report here a case of RCC without preoperative tumor thrombus that had progressed to RCC with IVC tumor thrombus.Case PresentationA 75-year-old man was referred to our hospital. Contrast-enhanced CT showed a 50-mm mass in the right kidney with an indistinct border, contrast in the early phase and washout in the late phase. RARN was attempted for RCC. Intraoperatively, a tumor thrombus was unexpectedly observed. We converted to open surgery, and the right kidney and tumor thrombus were removed. Postoperative lymphorrhea was observed, but the patient recovered without any problems. Lung and bone metastases subsequently appeared, and the patient died 2 months later.ConclusionsSurgeons should keep in mind that a tumor thrombus can grow rapidly before performing surgery for renal cell carcinoma.
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页数：4
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