Successful treatment for a large renal cell carcinoma with tumour thrombus.
Acta Chir Belg
; 111(6): 404-6, 2011.
Article
em En
| MEDLINE
| ID: mdl-22299331
ABSTRACT
We report the case of a 41-year-old man with symptoms of exertional dyspnoea and easy fatigue. Physical examination revealed a palpable mass with knocking pain over the right flank region and a cardiac murmur with jugular vein engorgement. Transoesophageal echocardiography revealed a right atrial mass that caused tricuspid inflow obstruction. Computed tomography revealed a giant mass (approximately 15 x 15 cm2) in the right kidney; this finding was consistent with renal cell carcinoma. Despite the metastatic status, right nephrectomy was performed and the intra-atrial tumour thrombus (TT) was resected under a cardiopulmonary bypass in order to relieve the tricuspid obstruction. Histological examination confirmed renal cell carcinoma with TT. The patient is healthy with satisfactory systolic function at 1-year follow-up.
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Base de dados:
MEDLINE
Assunto principal:
Veia Cava Inferior
/
Carcinoma de Células Renais
/
Trombose Venosa
/
Átrios do Coração
/
Neoplasias Cardíacas
/
Neoplasias Renais
/
Células Neoplásicas Circulantes
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article