[Renal carcinoma with tumor embolism of the supradiaphragmatic inferior vena cava: therapeutic alternatives and review of the literature].
We report a case of a man with a left renal cancer and vena caval thrombus extending to the right atrium, that was not possible to remove because infiltration of the posterior plane was detected intraoperatively. The patient was rehospitalized for intractable haematuria. He underwent selective embolization of the left renal artery with ethanol and coil. There were no complications and the patient is well seven months after the procedure. We review the literature on the diagnostic and therapeutic options in such cases. We can conclude that it is necessary to know the exact stage of the primary cancer in order to choose the best treatment. MRI or dynamic CT should be utilized to determine the presence of infiltration of adjacent structures or distant metastasis. Radical nephrectomy and the removal of the caval thrombus afford the only possibility of survival in these patients.
Begara Morillas
F J
FJ
Cátedra y Servicio de Urología, Hospital Universitario San Carlos, Madrid, España.
Rapariz Gonzalez
M
M
Espinosa Fernandez
B
B
Salinas Casado
J
J
Esteban Fuertes
M
M
Ramírez
J C
JC
Mohamed Abdallah
Z
Z
Resel Estévez
L
L
D003937:Diagnosis, Differential; D003964:Diaphragm; D006801:Humans; D015994:Incidence; D007680:Kidney Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D011379:Prognosis; D014682:Vena Cava, Inferior
Carcinoma renal con trombo tumoral en vena cava inferior supradiafragmática: opciones terapéuticas y revisión de la literatura.