scholarly journals Surgical treatment of isolated right ventricular metastasis from renal cell carcinoma

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Shuhei Miura ◽  
Akira Yamada ◽  
Yutaka Iba ◽  
Ryushi Maruyama ◽  
Eiichiro Hatta ◽  
...  

Abstract Background Cardiac metastasis from renal cell carcinoma is an exceptional event, particularly when there is lack of inferior vena cava involvement. Only a few cases have been reported worldwide so far. Case presentation We presented a case of a 58-year-old man diagnosed with isolated right ventricular metastasis of renal cell carcinoma in the absence of direct inferior vena cava extension, who underwent surgical tumor resection using cardiopulmonary bypass. Conclusions Surgical resection of the cardiac mass with an understanding of the pathology is needed to prevent sudden death from acute heart failure or tumor embolism and improve the patient’s quality of life.

2006 ◽  
Vol 21 (3) ◽  
pp. 304-306 ◽  
Author(s):  
Fernando A. Atik ◽  
Jose L. Navia ◽  
Venkatesh Krishnamurthi ◽  
Gurmeet Singh ◽  
Takahiro Shiota ◽  
...  

1983 ◽  
Vol 130 (4) ◽  
pp. 660-663 ◽  
Author(s):  
Pramod C. Sogani ◽  
Harry W. Herr ◽  
Manjit S. Bains ◽  
Willet F. Whitmore

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Yoshimi Tanaka ◽  
Yasuhiro Hashimoto ◽  
Shingo Hatakeyama ◽  
Shogo Hosogoe ◽  
Toshikazu Tanaka ◽  
...  

2018 ◽  
Vol 34 (5) ◽  
pp. 375-382
Author(s):  
Viyana Hamblen

Inferior vena cava (IVC) tumor thrombus in renal cell carcinoma is a rare entity that suggests heightened biologic behavior and a surgical challenge during the course of treatment. Tumor thrombus can extend from the renal vein to the right atrium. This cephalad extension is classified by four different levels. These levels determine which surgical approach is used, whether a thoracoabdominal incision is needed, and whether a patient needs to be placed in circulatory arrest. Complete surgical resection of the tumor is potentially the only curative treatment, although it supposes a challenge because of operative difficulty and the potential for massive bleeding or tumor pulmonary thromboembolism. IVC tumor thrombus presents with a few differentials that need to be assessed, including bland thrombus, primary IVC leiomyosarcoma, hepatocellular carcinoma, adrenal cortical carcinoma, primary lung carcinoma, and Wilms tumor. The importance of diagnosing IVC tumor thrombus secondary to renal cell carcinoma is demonstrated as well as a sonographic protocol for assessing IVC tumor thrombus.


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