Renal cell carcinoma with retro-aortic renal vein thrombus: a case series.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 19751253.
- Also identified by DOI 10.1111/j.1464-410X.2009.08879.x.
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Abstract
To present three cases of tumour thrombus in the retro-aortic renal vein (RARV) arising from left renal cell carcinomas (RCCs), a very rare event (<1:1000-2000 per case) and to discuss the embryological, radiological and surgical aspects of this anomaly. Three cases of RCC with RARV thrombus presented in a 1-month period at one institution. All three cases were identified before surgery by computed tomography (CT) urograms and had a successful nephrectomy. RCC in the presence of RARVs is rare but can be identified on CT urogram. At nephrectomy, a midline laparotomy or full 'rooftop incision' is recommended, and any attempt to mobilize the kidney before dealing with the renal pedicle should be avoided.
Medical subject headings
- Carcinoma, Renal Cell
- Kidney Neoplasms
- Neoplastic Cells, Circulating
- Nephrectomy
- Renal Veins
- Venous Thrombosis