成人肾母细胞瘤：病例报告。

Morabito V, Guglielmo N, Melandro F, Mazzesi G, Alesini F, Bosco S, Berloco P B

Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.

Department of CardioSurgery and Heart Transplant, Sapienza University of Rome, Italy.

Int J Surg Case Rep. 2015;6C:273-6. doi: 10.1016/j.ijscr.2014.06.021. Epub 2014 Dec 8.

Wilms tumor (WT) occurs infrequently in adults. Even rarer is adult WT with extension by direct intravascular spread into the right side of the heart. The present report describes a WT with intracaval and intracardiac extension in a 38-year-young man. In addition, thrombus extension above the infrahepatic IVC represents a major technical topic for surgeons because of the possible occurrence of uncontrollable hemorrhages and tumor fragmentation. We report the results of a surgical approach to caval thrombosis including the isolation of the IVC from the liver as routinely performed during liver harvesting. The morphologic and immune-histochemical findings confirmed the diagnosis.

肾母细胞瘤（WT）在成人中很少见。成人WT通过直接血管内蔓延至心脏右侧更为罕见。本报告描述了一名38岁男性患有腔静脉内和心腔内蔓延的WT。此外，肝下下腔静脉上方的血栓延伸是外科医生面临的一个主要技术难题，因为可能会发生无法控制的出血和肿瘤破碎。我们报告了一种治疗腔静脉血栓形成的手术方法的结果，包括在肝脏切取过程中常规进行的下腔静脉与肝脏的分离。形态学和免疫组织化学检查结果证实了诊断。