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以右心房肿块和严重症状性贫血为首发表现的肾细胞癌

Right Atrial Mass and Severe Symptomatic Anemia as the Initial Presentation of Renal Cell Carcinoma.

作者信息

Romero Leslie-Joy, Ghias Mona, Carducci Hugo, Mains Nicholas, Bogdansky Kevin

机构信息

Pediatric Hospital Medicine/Internal Medicine, West Virginia University, School of Medicine, Morgantown, USA.

Internal Medicine, West Virginia University, School of Medicine, Morgantown, USA.

出版信息

Cureus. 2024 Jul 14;16(7):e64516. doi: 10.7759/cureus.64516. eCollection 2024 Jul.

DOI:10.7759/cureus.64516
PMID:39082047
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11288293/
Abstract

We present a case of a 63-year-old male with a history significant for hypertension and a 45-pack-year smoking history who presented with severe symptomatic anemia. Rather quickly, upon imaging, he was found to have a 10 cm liver mass, a right renal mass, and a right atrial mass. A liver biopsy was performed and confirmed metastatic renal cell carcinoma (clear cell variant). Due to the extensive disease burden and patient preference, curative surgery was not pursued. This case highlights the rare but critical complications that can present as the initial presentation of renal cell carcinoma.

摘要

我们报告一例63岁男性患者，有高血压病史且有45年的吸烟史，现出现严重的症状性贫血。很快，经影像学检查发现他有一个10厘米的肝脏肿块、一个右肾肿块和一个右心房肿块。进行了肝脏活检，确诊为转移性肾细胞癌（透明细胞型）。由于疾病负担广泛且患者的偏好，未进行根治性手术。该病例突出了肾细胞癌作为初始表现时可能出现的罕见但关键的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5f/11288293/2b67609a1fbf/cureus-0016-00000064516-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5f/11288293/8f7239d8f90d/cureus-0016-00000064516-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5f/11288293/2b67609a1fbf/cureus-0016-00000064516-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5f/11288293/8f7239d8f90d/cureus-0016-00000064516-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5f/11288293/2b67609a1fbf/cureus-0016-00000064516-i02.jpg

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本文引用的文献

1
Renal cell carcinoma with intracardiac tumor thrombus extension: Radical surgery yields 2 years of postoperative survival in a single-center study over a period of 30 years.伴有心内肿瘤血栓延伸的肾细胞癌：在一项为期30年的单中心研究中，根治性手术带来了2年的术后生存期。
Front Oncol. 2023 Feb 1;13:1137804. doi: 10.3389/fonc.2023.1137804. eCollection 2023.
2
Atrial Metastasis of Renal Cell Carcinoma: A Rare Presentation.肾细胞癌的心房转移：一种罕见的表现。
Cardiol Res. 2018 Jun;9(3):183-185. doi: 10.14740/cr690w. Epub 2018 Jun 6.
3
An uncommon and insidious presentation of renal cell carcinoma with tumor extending into the inferior vena cava and right atrium: a case report.
肾细胞癌罕见且隐匿的表现：肿瘤延伸至下腔静脉和右心房——一例病例报告
J Med Case Rep. 2016 May 3;10(1):109. doi: 10.1186/s13256-016-0888-5.
4
Atypical presentations and rare metastatic sites of renal cell carcinoma: a review of case reports.肾细胞癌的非典型表现及罕见转移部位：病例报告综述
J Med Case Rep. 2011 Sep 2;5:429. doi: 10.1186/1752-1947-5-429.
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Management of renal cell carcinoma with intracardiac extension.伴有心内扩展的肾细胞癌的管理
J Card Surg. 2008 Nov-Dec;23(6):754-8. doi: 10.1111/j.1540-8191.2008.00664.x.