title: Large adrenocortical carcinoma extending into the inferior vena cava and right atrium.
abstract: A case of large adrenocortical carcinoma extending into the inferior vena cava and right atrium is reported. Computed tomography showed a large mass displacing the left kidney inferiorly with an intravascular tumour thrombus extending into the inferior vena cava and right atrium. Radical surgery under hypothermia and cardiopulmonary bypass was performed and the tumour mass, together with the tumour thrombus, was successfully removed. The presence of intravascular tumour extension alone should not be a contraindication to radical surgical therapy, as it is the best hope for prolonged survival.
authors.affiliation: Department of Breast and Endocrine Surgery, Putrajaya Hospital, Malaysia. anhisham@pd.jaring.my
authors.forename: A N
authors.initials: AN
authors.lastname: Hisham
authors.forename: A
authors.initials: A
authors.lastname: Sarojah
authors.forename: H
authors.initials: H
authors.lastname: Zanariah
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D018268:Adrenocortical Carcinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D000328:Adult; D017809:Fatal Outcome; D006325:Heart Atria / Q000473:pathology*; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000473:pathology*