A case of renal capsular liposarcoma with intracaval fat thrombus.

Ciccarello, Giuseppe; Mucciardi, Giuseppe; Morgia, Giuseppe; Spinelli, Francesco; Ascenti, Giorgio; Macchione, Luciano; Magno, Carlo · Eur Urol · 2010

case_report · Level V

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Abstract

A 58-yr-old woman was referred to our hospital for hematuria and a painless, rapidly growing abdominal mass. Computed tomography showed a rounded mass, 23x19cm in diameter, spread over the left retroperitoneal space. A thrombus was observed occupying the left renal vein until the vena cava. Total left nephrectomy with excision of the retroperitoneal mass was carried out. A cavotomy highlighted the intraluminal thrombus, which was easily detached with a forced Valsalva maneuver. The pathologic examination demonstrated a well-differentiated liposarcoma of the renal capsule with fat thrombus in the vena cava. At 24 mo follow-up, there was no evidence of recurrence.

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