Crawford E D, Woodside J R, Skinner D G, Blank B H, Kiker J D
Urology. 1984 Jun;23(6):538-40. doi: 10.1016/0090-4295(84)90065-7.
Renal cell carcinoma is a highly vascular tumor with the propensity to propagate along venous channels. Vena cava tumor thrombi are reported to occur in approximately 4-10 per cent of cases and requires modification of the standard radical nephrectomy. We report the first 3 cases of vena caval tumor thrombus emanating not from the renal vein, but from the adrenal vein. The recognition of this occurrence is essential in order to avert an intraoperative catastrophe.
肾细胞癌是一种血管丰富的肿瘤,有沿静脉通道扩散的倾向。据报道,腔静脉肿瘤血栓在大约4% - 10%的病例中出现,这需要对标准根治性肾切除术进行调整。我们报告了首例3例腔静脉肿瘤血栓并非起源于肾静脉,而是起源于肾上腺静脉的病例。认识到这种情况的发生对于避免术中灾难至关重要。