Satoh Mototaka, Hatano Koji, Tsujimoto Yuuichi, Takada Tsuyoshi, Honda Masahito, Matsumiya Kiyomi, Fujioka Hideki
The Department of Urology, Osaka Police Hospital.
Hinyokika Kiyo. 2006 Nov;52(11):867-9.
A case report of left renal cell carcinoma with tumor thrombus extending into the right atrium is reported. A 76-year-old woman was found to have a left renal tumor with tumor thrombus extending into the inferior vena cava and right atrium by computed tomographic-scanning. Left nephrectomy and removal of an intra-atrial tumor thrombus were performed under a cardiopulmonary bypass. The post-operative course was uneventful and the patient was discharged from the hospital 22 days postoperatively. The pathological diagnosis was clear cell carcinoma. After surgery, the patient received interferon-gamma. However, the patient developed lung metastases 26 months after the operation and is currently being observed while receiving interferon-alpha.
报告了一例左肾细胞癌伴肿瘤血栓延伸至右心房的病例。一名76岁女性经计算机断层扫描发现左肾肿瘤伴肿瘤血栓延伸至下腔静脉和右心房。在体外循环下进行了左肾切除术及心房内肿瘤血栓清除术。术后过程顺利,患者术后22天出院。病理诊断为透明细胞癌。术后患者接受了γ干扰素治疗。然而,患者术后26个月出现肺转移,目前正在接受α干扰素治疗并进行观察。