Alam Ahmad S, Yashi Kanica, Elkhawaga Mostafa
General Surgery, John Hunter Hospital, Newcastle, AUS.
Internal Medicine, Bassett Healthcare, Cooperstown, USA.
Cureus. 2023 Feb 23;15(2):e35380. doi: 10.7759/cureus.35380. eCollection 2023 Feb.
Renal cell cancer (RCC) is at times associated with intravascular tumour thrombus (TT), which in rare cases can extend to the right atrium. The management of RCC with intravascular tumour thrombus is complex and requires a multidisciplinary approach involving urologists, vascular surgeons, and cardiologists. The pre-operative workup is extensive and includes imaging studies to determine the extent of the tumour thrombus and assess the patient's overall health status. Here, we present a case report detailing the operative and perioperative management of a patient presenting with renal cell cancer and intravascular TT.
肾细胞癌(RCC)有时与血管内肿瘤血栓(TT)相关,在罕见情况下,肿瘤血栓可延伸至右心房。伴有血管内肿瘤血栓的肾细胞癌的治疗较为复杂,需要泌尿外科医生、血管外科医生和心脏病专家等多学科参与。术前检查范围广泛,包括影像学检查,以确定肿瘤血栓的范围并评估患者的整体健康状况。在此,我们报告一例详细介绍肾细胞癌合并血管内肿瘤血栓患者的手术及围手术期管理的病例。