肾细胞癌中术前下腔静脉肿瘤血栓的快速生长
Preoperative rapid growth of inferior vena cava tumor thrombus in renal cell carcinoma.
作者信息
Katsu Akifumi, Yanagi Masato, Yoshioka Masato, Motoda Norio, Takata Hideyuki, Kono Hiroyoshi, Kimata Ryoji, Hamasaki Tsutomu, Kondo Yukihiro
机构信息
Department of Urology Nippon Medical School Musashikosugi Hospital 1-383, Kosugimachi 211-8533 Kanagawa Japan.
Department of Surgery Nippon Medical School Musashikosugi Hospital Kawasaki Kanagawa Japan.
出版信息
IJU Case Rep. 2024 Feb 20;7(3):230-233. doi: 10.1002/iju5.12709. eCollection 2024 May.
INTRODUCTION
We present the case of a rapidly growing inferior vena cava tumor thrombus in renal cell carcinoma.
CASE PRESENTATION
We present a case of a 66-year-old woman with right renal cell carcinoma with a tumor thrombus extending 2 cm into the inferior vena cava on an initial Imaging. Radical surgery was performed 6 weeks after the first visit. Intraoperatively, the tumor thrombus was confirmed to have grown near the diaphragm. The tumor was resected using an inferior vena cava clamping just below the diaphragm. The tumor thrombus and renal cell carcinoma were completely removed. There was no recurrence 6 months postoperatively.
CONCLUSION
Inferior vena cava tumor thrombus in renal cell carcinoma can grow in a short period, suggesting that preoperative imaging evaluation at the appropriate time is important. Once inferior vena cava tumor thrombus of renal cell carcinoma occurs, surgery should not be delayed unless there is an urgent reason.
引言
我们报告一例肾细胞癌中快速生长的下腔静脉肿瘤血栓病例。
病例报告
我们呈现一名66岁女性右肾细胞癌病例，初次影像学检查时肿瘤血栓延伸至下腔静脉2厘米。首次就诊6周后进行了根治性手术。术中证实肿瘤血栓已生长至靠近膈肌处。在膈肌下方使用下腔静脉钳夹切除肿瘤。肿瘤血栓和肾细胞癌被完全切除。术后6个月无复发。
结论
肾细胞癌中的下腔静脉肿瘤血栓可在短时间内生长，提示在适当时间进行术前影像学评估很重要。一旦发生肾细胞癌的下腔静脉肿瘤血栓，除非有紧急原因，手术不应延迟。
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