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
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.
引用
收藏
页数:4
相关论文
共 50 条
  • [42] Hypofractionated radiotherapy for renal cell carcinoma with inferior vena cava tumour thrombus
    Beldzinska, Karolina
    Gadek, Konrad
    Rutkowski, Jacek
    WSPOLCZESNA ONKOLOGIA-CONTEMPORARY ONCOLOGY, 2022, 26 (04): : 310 - 313
  • [43] Incidental Finding of Renal Cell Carcinoma: Detected by a Thrombus in the Inferior Vena Cava
    Bellman, Nancy L.
    JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY, 2015, 31 (02) : 118 - 121
  • [44] Management of renal cell carcinoma with level III thrombus in the inferior vena cava
    Ciancio, G
    Vaidya, A
    Savoie, M
    Soloway, M
    JOURNAL OF UROLOGY, 2002, 168 (04): : 1374 - 1377
  • [45] ORDER OF THROMBECTOMY FOR MANAGEMENT OF RENAL CELL CARCINOMA WITH INFERIOR VENA CAVA THROMBUS
    Ishiyama, Yudai
    Kondo, Tsunenori
    Yoshida, Kazuhiko
    Iizuka, Junpei
    Tanabe, Kazunari
    Takagi, Toshio
    JOURNAL OF UROLOGY, 2022, 207 (05): : E865 - E865
  • [46] Outcomes after inferior vena cava thrombectomy and reconstruction for advanced renal cell carcinoma with tumor thrombus
    Armstrong, Paul A.
    Back, Martin R.
    Shames, Murray L.
    Bailey, Charles J.
    Kim, Timothy
    Lawindy, Samuel M.
    Sexton, Wade J.
    Spiess, Philippe E.
    JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, 2014, 2 (04) : 368 - 375
  • [47] Usefulness of cardiopulmonary bypass in reconstruction of inferior vena cava occupied by renal cell carcinoma tumor thrombus
    Yamashita, C
    Azami, T
    Okada, M
    Toyoda, Y
    Wakiyama, H
    Yoshida, M
    Ataka, K
    Okada, M
    ANGIOLOGY, 1999, 50 (01) : 47 - 53
  • [48] A different approach in the treatment of left renal cell carcinoma with tumor thrombus extension into the vena cava inferior
    Gedik, Hikmet Selcuk
    Alp, Ibrahim
    Arslan, Gokhan
    Dereli, Yuksel
    Korkmaz, Kemal
    Yilmaz, Ahmet Turan
    TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2012, 20 (02): : 396 - 398
  • [49] Intraoperative management of advanced renal cell carcinoma with tumor thrombus in retrohepatic inferior vena cava or beyond
    Arianayagam, M.
    Naguit, K.
    Ciancio, G.
    Fujkazawa, K.
    BJU INTERNATIONAL, 2012, 109 : 37 - 37
  • [50] Inferior vena cava interruption in renal cell carcinoma with tumor thrombus: surgical strategy and perioperative results
    Liu, Zhuo
    Zhang, Qiming
    Zhao, Xun
    Zhu, Guodong
    Tang, Shiying
    Hong, Peng
    Ge, Liyuan
    Zhang, Shudong
    Wang, Guoliang
    Tian, Xiaojun
    Zhang, Hongxian
    Liu, Cheng
    Ma, Lulin
    BMC SURGERY, 2021, 21 (01)