Tabata S, Nakatsuji F, Iwai A, Moriya A, Watanabe S, Hirao Y, Okajima E, Inoue T, Kitamura S
Hinyokika Kiyo. 1987 Feb;33(2):251-8.
A case of left renal cell carcinoma with a tumor thrombus extending into the vena cava and the right atrium is reported. A 49-year-old female presented with a one month history of palpitation, dyspnea, and leg edema. CT-scanning and angiography revealed a left renal tumor with a tumor thrombus extending into the right atrium. Left nephrectomy and the removal of an intra-atrial tumor thrombus were performed under cardiopulmonary bypass. The postoperative course was unfavorable and the patient died on the 42nd day after the operation because of multiple organ failure in spite of repeated hemoperfusion. Operative procedure and prognosis of renal cell carcinoma with tumor thrombus extending into the right atrium are discussed.
报告一例左肾细胞癌伴肿瘤血栓延伸至腔静脉及右心房。一名49岁女性，有1个月的心悸、呼吸困难和腿部水肿病史。CT扫描和血管造影显示左肾肿瘤伴肿瘤血栓延伸至右心房。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。术后病程不佳，尽管反复进行血液灌注，患者仍在术后第42天因多器官衰竭死亡。讨论了肾细胞癌伴肿瘤血栓延伸至右心房的手术方法及预后。
