Korean J Thorac Cardiovasc Surg.  2003 Dec;36(12):970-974.

Renal Leiomyosarcoma with an Extension of the Tumor Thrombi into the IVC and the RA: One of case

• Chung KC
• Lee CB
• Chon SH
• Kim SH
• Kim H
• Chung WS
• Kim YH
• Kang JH

Abstract

There has been an improvement in the prognosis of tumor thrombi invading the inferior vena cava(IVC) and the right atrium(RA) of renal cell carcinoma with radical nephrectomy and tumor thrombectomy with the aid of cardiopulmonary bypass in the last 10 years. A 30 year old woman was diagnosed with right renal tumor with tumor thrombi invading the right renal vein and the IVC above the right renal vein to the RA. She received radical nephrectomy and removal of tumor thrombi in the infrarenal IVC under hypothermic total circulatory arrest using the cardiopulmonary bypass. The tumor recurred 12 months after the initial operation, she received a second operation for tumor removal from the retroperitoneum, suprarenal IVC, and RA. She died 11 months after the second operation due to lung metastases and recurred hepatic vein tumor extended to the RA and right ventricle.

Keyword

Renal neoplasm; Leiomyosarcoma; Vena cava, inferior; Great vessels

MeSH Terms

Adult
Carcinoma, Renal Cell
Cardiopulmonary Bypass
Female
Heart Ventricles
Hepatic Veins
Humans
Kidney Neoplasms
Leiomyosarcoma*
Lung
Neoplasm Metastasis
Nephrectomy
Prognosis
Renal Veins
Thrombectomy
Vena Cava, Inferior