Nakanoma T, Ueno M, Nonaka S, Tsukamoto T, Deguchi N
Second Department of Urology, Saitama Medical School, Saitama, Japan.
Nihon Hinyokika Gakkai Zasshi. 2001 Jan;92(1):34-7. doi: 10.5980/jpnjurol1989.92.34.
An 62-year-old male was admitted to our hospital for an evaluation of high grade fever, body weight loss and lumbago. He was diagnosed as having a left adrenal tumor with intracaval extension and underwent a radical surgery, including resection of the tumor, left kidney, spleen and IVC tumor thrombus. Histopathological diagnosis was adrenocortical carcinoma with tumor thrombus. To our knowledge, our case seems to be the 8th case report of left adrenocortical cancer with tumor thrombus extension into IVC. Average survival of reported cases was about 15 months. At 4 months after surgery, the patient died due to lung metastasis.
一名62岁男性因高热、体重减轻和腰痛入院接受评估。他被诊断为左肾上腺肿瘤伴腔静脉内延伸,并接受了根治性手术,包括肿瘤切除、左肾、脾脏和下腔静脉肿瘤血栓切除术。组织病理学诊断为肾上腺皮质癌伴肿瘤血栓。据我们所知,我们的病例似乎是第八例左肾上腺皮质癌伴肿瘤血栓延伸至下腔静脉的病例报告。报告病例的平均生存期约为15个月。术后4个月,患者因肺转移死亡。