Cahill P J, Sukov R J
Urology. 1977 Dec;10(6):604-7. doi: 10.1016/0090-4295(77)90117-0.
A case of preoperative demonstration of inferior vena caval extension of tumor thrombus from adrenal cortical carcinoma is presented. Surgery showed that extension had occurred via the adrenal vein rather than by direct invasion. A search of the literature failed to uncover either any mention of preoperative attention to the possibility of caval involvement or of this particular mode of extension. Review of our experience with 17 adrenal cortical carcinomas suggested that carcinoma of the right adrenal gland involves the vena cava more commonly than does carcinoma of the left. We recommend that cavography be performed in the evaluation of adrenal carcinoma.
本文报告一例术前显示肾上腺皮质癌瘤栓延伸至下腔静脉的病例。手术显示其延伸是通过肾上腺静脉而非直接侵犯。查阅文献未发现术前关注腔静脉受累可能性或这种特殊延伸方式的任何提及。回顾我们对17例肾上腺皮质癌的经验表明，右肾上腺癌比左肾上腺癌更常累及腔静脉。我们建议在肾上腺癌评估中进行腔静脉造影。
