An unusual presentation of renal cell carcinoma with deep vein thrombosis of the calf.
Renal cell carcinoma is a malignant tumour that involves the vena cava in 4% to 10% of patients undergoing radical nephrectomy. Of these only a third to half presented with symptoms of vena caval involvement. We present a case of renal cell carcinoma with vena caval involvement that presented with just a swollen right leg. The patient was staged and had a nephrectomy and resection of the inferior vena cava. Due to extensive collateral venous drainage renal function was not compromised and he was discharged well.
Department of Surgery, National University Hospital, Singapore.
J C
JC
Png
M K
MK
Li
D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009392:Nephrectomy; D013924:Thrombophlebitis / Q000209:etiology*; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery