孤立性巨大右心室肾细胞癌转移，无下腔静脉或右心房受累。

Solitary massive right ventricular metastasis of renal cell carcinoma without inferior vena cava or right atrium involvement.

作者信息

Atik Fernando A, Navia Jose L, Krishnamurthi Venkatesh, Singh Gurmeet, Shiota Takahiro, Pitas Grzegorz, Brizzio Mariano E, Gonzalez-Stawinski Gonzalo V, Kefer John, Goldfarb David

机构信息

Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation Cleveland, Ohio, USA.

出版信息

J Card Surg. 2006 May-Jun;21(3):304-6. doi: 10.1111/j.1540-8191.2006.00244.x.

DOI:10.1111/j.1540-8191.2006.00244.x

PMID:16684070

Abstract

Right ventricular metastases from renal cell carcinoma without inferior vena cava or right atrium involvement are rare. A 67-year-old male presented with hematuria and congestive heart failure. Computed tomography revealed a left renal mass. In addition, an intra-cardiac mass was found during the preoperative workup, causing right ventricular outflow tract obstruction. His past medical history included previous coronary bypass grafting. The patient underwent combined radical nephrectomy and removal of right ventricular mass. Pathology confirmed renal cell carcinoma with extensive sarcomatoid features in both the left kidney and right ventricle. His postoperative recovery was unremarkable.

摘要

无下腔静脉或右心房受累的肾细胞癌右心室转移罕见。一名67岁男性出现血尿和充血性心力衰竭。计算机断层扫描显示左肾肿块。此外，术前检查发现心内肿块，导致右心室流出道梗阻。他过去的病史包括既往冠状动脉搭桥术。该患者接受了根治性肾切除术联合右心室肿块切除术。病理证实左肾和右心室均为具有广泛肉瘤样特征的肾细胞癌。他术后恢复情况良好。