A case of renal capsular liposarcoma with intracaval fat thrombus.
A 58-yr-old woman was referred to our hospital for hematuria and a painless, rapidly growing abdominal mass. Computed tomography showed a rounded mass, 23x19cm in diameter, spread over the left retroperitoneal space. A thrombus was observed occupying the left renal vein until the vena cava. Total left nephrectomy with excision of the retroperitoneal mass was carried out. A cavotomy highlighted the intraluminal thrombus, which was easily detached with a forced Valsalva maneuver. The pathologic examination demonstrated a well-differentiated liposarcoma of the renal capsule with fat thrombus in the vena cava. At 24 mo follow-up, there was no evidence of recurrence.
Ciccarello
Giuseppe
G
Department of Urology, University of Messina, Messina, Italy.
Mucciardi
Giuseppe
G
Morgia
Giuseppe
G
Spinelli
Francesco
F
Ascenti
Giorgio
G
Macchione
Luciano
L
Magno
Carlo
C
D000273:Adipose Tissue; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications*; D008080:Liposarcoma / Q000150:complications*; D008875:Middle Aged; D013927:Thrombosis / Q000150:complications*; D014682:Vena Cava, Inferior