Urol. praxi. 2018;19(3):142-144 | DOI: 10.36290/uro.2018.074
Renal cell carcinoma with tumor thrombus extending in the right atrium
- 1 Urologická klinika Fakultní nemocnice Olomouc
- 2 Kardiochirurgická klinika Fakultní nemocnice Olomouc
Renal cell carcinoma is the most common primary kidney tumor. Czech Republic has the highest incidence of this type of tumorin the world. The occurrence of a tumor thrombus in the inferior vena cava is recorded in 4 % up to 10 % of patients at the timeof diagnosis. Renal cell carcinoma is in the most cases clinically mute or it may appear by atypical symptoms. In our case, thediagnosis of the renal cell carcinoma with a tumor thrombus extending in the right atrium was incidental, based on the suddenstuffiness. In collaboration with cardiac surgeons, the patient underwent a radical nephrectomy with cavotomy and exstirpationof the tumor thrombus protruding into right atrium through visual control. Despite the advanced stage of the tumor thrombus,the surgery was successful and there is similar prognosis as if the tumor thrombus was restricted to the renal vein.
Keywords: kidney carcinoma, tumor thrombus
Published: July 1, 2018 Show citation
References
- http://www.svod.cz/
- Zemanová M, Büchler T. Karcinom ledviny. 2015 Dostupné z: https://zdravi.euro.cz/clanek/postgradualni-medicina/renalni-karcinom-2015-480002.
- Dominik J, Moravek P, Zacek P, et al. Long-term survival after radical surgery for renal cell carcinoma with tumour thrombus extension into the right atrium, BJU Int. 2013; 111(3 Pt B): E59-64.
Go to original source... 
Go to PubMed... - Renal Cell Carcinoma [online]. Dostupné z: http://uroweb.org/guideline/renal-cell-carcinoma/.
- Lu HT, Chong JL, Othman N, Vendargon S, Shamsuddin O. An uncommon and insidious presentation of renal cell carcinoma with tumor extending into the inferior vena cava and right atrium, Journal J Med Case Rep. 2016; 10(1): 109. Go to original source... Go to PubMed...
- Blute ML, Leibovich BC, Lohse CM, Cheville JC, Zincke H. The Mayo Clinic experience with surgical management, complications and outcome for patients with renal cell carcinoma and venous tumour trombus, BJU Int. 2004; 94(1): 33-41. Go to original source... Go to PubMed...
- Čertík B, Třeška V, Moláček J, Šulc R. How to proceed in the case of a tumour thrombus in the inferior vena cava with renal cell carcinoma, Cor et Vasa, April 2015: e95-e100. Go to original source...
- Al Otaibi M, Abou Youssif T, Alkhaldi A, Sircar K, Kassouf W, Aprikian A, Mulder D, Tanguay S. Renal cell carcinoma with inferior vena caval extention: impact of tumour extent on surgical outcome, BJU Int. 2009; 104(10): 1467-1470. Go to original source... Go to PubMed...