肾细胞癌术前下腔静脉肿瘤血栓的快速生长

Q4 Medicine
Akifumi Katsu, Masato Yanagi, Masato Yoshioka, Norio Motoda, Hideyuki Takata, Hiroyoshi Kono, Ryoji Kimata, Tsutomu Hamasaki, Yukihiro Kondo
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引用次数: 0

摘要

我们介绍了一例肾细胞癌下腔静脉肿瘤血栓快速生长的病例。我们介绍了一例 66 岁女性患者的病例,她患有右肾细胞癌,初次造影时肿瘤血栓延伸至下腔静脉 2 厘米。首次就诊后 6 周,患者接受了根治手术。术中证实,肿瘤血栓生长在横膈膜附近。使用下腔静脉夹钳在膈肌下方切除了肿瘤。肿瘤血栓和肾细胞癌被完全切除。肾细胞癌的下腔静脉瘤栓可在短时间内生长,这表明术前适时进行影像学评估非常重要。肾细胞癌的下腔静脉瘤栓一旦形成,除非有紧急原因,否则不应延迟手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Preoperative rapid growth of inferior vena cava tumor thrombus in renal cell carcinoma

Preoperative rapid growth of inferior vena cava tumor thrombus in renal cell carcinoma

Introduction

We present the case of a rapidly growing inferior vena cava tumor thrombus in renal cell carcinoma.

Case presentation

We present a case of a 66-year-old woman with right renal cell carcinoma with a tumor thrombus extending 2 cm into the inferior vena cava on an initial Imaging. Radical surgery was performed 6 weeks after the first visit. Intraoperatively, the tumor thrombus was confirmed to have grown near the diaphragm. The tumor was resected using an inferior vena cava clamping just below the diaphragm. The tumor thrombus and renal cell carcinoma were completely removed. There was no recurrence 6 months postoperatively.

Conclusion

Inferior vena cava tumor thrombus in renal cell carcinoma can grow in a short period, suggesting that preoperative imaging evaluation at the appropriate time is important. Once inferior vena cava tumor thrombus of renal cell carcinoma occurs, surgery should not be delayed unless there is an urgent reason.

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来源期刊
IJU Case Reports
IJU Case Reports Medicine-Urology
CiteScore
0.60
自引率
0.00%
发文量
147
审稿时长
15 weeks
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