Miyazato M, Yonou H, Sugaya K, Koyama Y, Hatano T, Ogawa Y
Department of Urology, University of the Ryukyu, Okinawa, Japan.
Int J Urol. 2001 Oct;8(10):575-7. doi: 10.1046/j.1442-2042.2001.00373.x.
A 47-year-old man presented with a left renal incidentaloma without hematuria. The tumor was complicated by inferior vena cava (IVC) thrombus extending from Th11 to L4. A temporary IVC filter was introduced prior to surgery. A midline incision was used to perform a left radical nephrectomy and en bloc lymphadenectomy with excision of the inferior vena cava from above the level of the left renal vein to 2.5 cm above the confluence of the common iliac veins. The pathological diagnosis was invasive transitional cell carcinoma. The tumor thrombus consisted of transitional cell carcinoma that histologically invaded the walls of the IVC. He died of cancer 17 months after the operation for the liver metastases. This is the 18th case report of such a presentation in the literature.
一名47岁男性因左肾偶发瘤就诊，无血尿症状。肿瘤合并下腔静脉（IVC）血栓形成，血栓从胸11延伸至腰4。手术前置入了临时下腔静脉滤器。采用正中切口行左肾癌根治术及整块淋巴结清扫术，同时切除从左肾静脉水平上方至髂总静脉汇合处上方2.5 cm的下腔静脉。病理诊断为浸润性移行细胞癌。肿瘤血栓由组织学上侵犯下腔静脉壁的移行细胞癌组成。术后17个月，他因肝转移癌死亡。这是文献中第18例此类病例报告。
