A case of renal cell carcinoma with intrahepatic vena caval tumor thrombus successfully managed by surgery in a long-term chronic hemodialysis patient with liver cirrhosis.
A 54-year-old man who had been under hemodialysis therapy for 16 years presented with gross hematuria at our department in February 2005. Imaging findings revealed right renal tumor of8.2 cm in diameter. In addition, the tumor extended into inferior vena cava at the level of the hepatic vein. There were no findings of distant metastasis. Right radical nephrectomy and thrombectomy were performed on April 2006. Histopathological analysis showed that the tumor was renal cell carcinoma of clear cell type, grade 2. Postoperative course was uneventful, and the adjuvant therapy with interferon alpha was initiated. He has been free from recurrence for 22 months after surgery.
Iida
Shoichi
S
Department of Urology, Tokyo Women's Medical University.
Kondo
Tsunenori
T
Tomita
Eri
E
Kouchi
Yukiko
Y
Goya
Nobuyuki
N
Ito
Fumio
F
Tanabe
Kazunari
K
D002292:Carcinoma, Renal Cell / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D016898:Interferon-alpha / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000628:therapy; D007680:Kidney Neoplasms / Q000188:drug therapy / Q000601:surgery*; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D006435:Renal Dialysis; D014682:Vena Cava, Inferior
D016898:Interferon-alpha