[Grawitz tumor with invasion of the inferior vena cava and right atrium: surgical management with a multidisciplinary team].
In this paper, the clinical condition of a 56 year old male patient is reported, with the diagnosis of renal cell carcinoma, complicated by a tumoral thrombus, extended from the renal vein into the vena cava and right atrium, who underwent surgical treatment. The operation consisted in the radical nephrectomy associated to the vena caval thrombectomy, under extracorporeal circulation, utilizing a multidisciplinary team composed by urologists, vascular and cardio-thoracic surgeons. The main features related to the diagnosis and surgical management of this case are described and discussed, according to data taken from the most recent publications of the literature on the subject.
da Gama
A Dinis
AD
Clinicas Universitárias de Cirurgia Vascular,Urologia e Serviço de Cirurgia Cardio-Torácica do Hospital de Santa Maria, Lisboa.
Alves
José Maria
JM
Vaz
Virgilio
V
Barros
Pedro
P
de Moura
J L Carneiro
JL
Mendes
Mário
M
Cravino
João
J
D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D006325:Heart Atria; D006338:Heart Neoplasms / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009360:Neoplastic Cells, Circulating; D010348:Patient Care Team; D019043:Vascular Neoplasms / Q000556:secondary* / Q000601:surgery*; D014682:Vena Cava, Inferior