scholarly journals Single Stage Resection of Renal Cell Carcinoma with Right Atrial Extension– A Case Report

2018 ◽  
Vol 36 (2) ◽  
pp. 77-79
Author(s):  
Syed Al Nahian ◽  
Sonjoy Biswas ◽  
Rezaul Hassan ◽  
M Zahid Hasan
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Primary Tumor ◽  
Renal Cell ◽  
Renal Vein ◽  
Tumor Thrombus ◽  
Vena Cava ◽  
Single Stage ◽  
Right Atrial

Renal cell carcinoma (RCC) is the commonest primary tumor of the kidney which may invade through the renal vein into the inferior vena cava (IVC), and then it can extend intraluminally with subsequent tumor-thrombus formation. Here we report a case involving excision of a primary RCC with tumor-thrombus involving IVC up to right atrium with the use of extracorporeal circulation. Single stage surgical procedure was performed in collaboration with a urological team aiming complete resection of primary tumor, para-aortic lymphadenectomy and removal of IVC thrombus extending to right atrium with the help of cardiopulmonary bypass. After arresting heart, RA was opened and the mass was removed through RA from IVC and hepatic vein level. Abdominal IVC was opened and the entire residual mass was removed from below also small amount of thrombus removed from left renal vein. Postoperative venous doppler showed no residual thrombus in venous system. Histopathology report confirmed papillary renal cell carcinoma. The patient was discharged from hospital in the 12th post-operative day without any complication.J Bangladesh Coll Phys Surg 2018; 36(2): 77-79

Renal Vein and Inferior Vena Cava Tumor Thrombus in Renal Cell Carcinoma

1992 ◽  
Vol 16 (2) ◽  
pp. 240-247 ◽  
Author(s):  
Douglas A. Kallman ◽  
Bernard F. King ◽  
Robert R. Hattery ◽  
J. William Charboneau ◽  
Richard L. Ehman ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava

Does left side renal cell carcinoma (RCC) with renal vein/vena cava thrombus predict worse prognosis than equivalent right side RCC tumor thrombus?

2012 ◽  
Vol 44 (4) ◽  
pp. 1005-1012 ◽  
Author(s):  
David D. Thiel ◽  
Christine M. Lohse ◽  
Michelle L. Arnold ◽  
John C. Cheville ◽  
Bradley C. Leibovich ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Tumor Thrombus ◽  
Vena Cava ◽  
Worse Prognosis

Management of Renal Cell Carcinoma With Tumor Thrombus in Renal Vein and the Inferior Vena Cava

2010 ◽  
Vol 24 (8) ◽  
pp. 1089-1093 ◽  
Author(s):  
Jun Qi ◽  
Zhengqin Gu ◽  
Fang Chen ◽  
Haibo Shen ◽  
Jianhua Chen ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava

Normothermic Cardiopulmonary Bypass with Beating Heart for Management of Renal Cell Carcinoma with Atrial Tumor Thrombus

2013 ◽  
Vol 8 (4) ◽  
pp. 316-319 ◽  
Author(s):  
Domenico Calcaterra ◽  
Thomas E. Collins ◽  
Joseph W. Turek ◽  
Kalpaj R. Parekh ◽  
Mohammad Bashir ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cardiopulmonary Bypass ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Tumor Thrombus ◽  
Vena Cava ◽  
Hospital Length Of Stay ◽  
Advanced Tumor Stage ◽  
The Right

Renal cell carcinoma is occasionally complicated by the formation of a neoplastic thrombus invading the inferior vena cava. Rarely, the thrombus extends into the vena cava, reaching the right atrium. In these situations, despite the advanced tumor stage, surgical resection continues to offer the best chance for effective treatment. The operation requires a complex surgical approach with mobilization of the liver and use, in most cases, of extracorporeal circulation, which allows removal of the tumor thrombus from the right atrium. Traditionally, the intervention is performed using deep hypo-thermic circulatory arrest or, less frequently, using moderate hypothermia, aortic cross clamping, and cardioplegic cardiac arrest. These strategies have the downside of causing increased blood loss, coagulopathy, and long operative time and can potentially have a negative impact on survival. We report a different operative approach using normothermic cardiopulmonary bypass, with the expectation of lowering the rate of blood product transfusions, hospital length of stay, and overall incidence of complications.

Charlson Co-Morbidity Index as a Predictor of Outcome After Surgery for Renal Cell Carcinoma With Renal Vein, Vena Cava or Right Atrium Extension.

2003 ◽  
Vol 169 (4) ◽  
pp. 1282-1286 ◽  
Author(s):  
MATTHEW T. GETTMAN ◽  
CHRISTOPHER W. BOELTER ◽  
JOHN C. CHEVILLE ◽  
HORST ZINCKE ◽  
SANDRA C. BRYANT ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Renal Vein ◽  
Vena Cava ◽  
Co Morbidity ◽  
Morbidity Index

scholarly journals A rare case of renal cell carcinoma with hematogenous extension into the right atrium discovered incidentally on echocardiogram

2020 ◽  
Vol 8 (34) ◽  
pp. 52-55
Author(s):  
Ryan Dean ◽  
Ganesh Maniam ◽  
Thien Vo
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Renal Vein ◽  
Clear Cell ◽  
Right Atrial ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
The Right

While hematogenous spread of renal cell carcinoma (RCC) is common, isolated extension into the renal vein and inferior vena cava (IVC) is rare and extension to the right atrium is even less likely. In the case, a 62-year-old Hispanic female was admitted for a suspected inferior myocardial infarction, and her echocardiogram revealed a right atrial mass consistent with the appearance of an atrial myxoma. Following cardiac catheterization, a histopathological examination of the mass revealed a clear cell tumor consistent with metastatic clear cell RCC. Following a CABG with excision of the atrial mas, the CT demonstrated a 5 cm right lower pole renal mass with hilar involvement, as well as filling defects in the IVC extending into the right renal vein; these findings were consistent with RCC tumor thrombus extension into the renal vein, IVC, and right atrium. The radical nephrectomy necessary for tumor removal could not be performed at this hospital, so the patient was discharged to a higher level of care. The incidence rate for RCC with extension into the right atrium is quite low, but clinicians should understand the lethality of RCC warrants immediate clinical investigation upon diagnosis. The increased utilization of sophisticated imaging modalities will likely continue to increase the rate of incidental discovery of such neoplasms, and physicians should keep RCC on the differential when a right atrial mass is discovered incidentally on echocardiogram.

scholarly journals Renal Cell Carcinoma With Extensive Tumor Thrombus Into the Inferior Vena Cava and Right Atrium in a 70-Year-Old Man

2019 ◽  
Vol 13 (3) ◽  
pp. 155798831984640 ◽  
Author(s):  
Monica-Alexandra Oltean ◽  
Roxana Matuz ◽  
Adela Sitar-Taut ◽  
Anca Mihailov ◽  
Nicolae Rednic ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava
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