Level IV tumor thrombus in non-metastatic renal cell cancer? No, thanks. Level II is better. Lessons learned from a case report

Up to 19% of patients with renal cell carcinoma present with a venous thrombus at diagnosis and 1% have a thrombus extending above the diaphragm. The higher the thrombus level, the more challenging the surgery. Cavoatrial tumor thrombus usually requires circulatory arrest and sometimes cardiopulmona...

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Autores principales: Galosi, Andrea Benedetto, Papaveri, Alessio, Castellani, Daniele, Agostini, Edoardo, Burattini, Luciano, Dell’Atti, Lucio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8044637/
https://www.ncbi.nlm.nih.gov/pubmed/33868935
http://dx.doi.org/10.1016/j.eucr.2021.101660
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author Galosi, Andrea Benedetto
Papaveri, Alessio
Castellani, Daniele
Agostini, Edoardo
Burattini, Luciano
Dell’Atti, Lucio
author_facet Galosi, Andrea Benedetto
Papaveri, Alessio
Castellani, Daniele
Agostini, Edoardo
Burattini, Luciano
Dell’Atti, Lucio
author_sort Galosi, Andrea Benedetto
collection PubMed
description Up to 19% of patients with renal cell carcinoma present with a venous thrombus at diagnosis and 1% have a thrombus extending above the diaphragm. The higher the thrombus level, the more challenging the surgery. Cavoatrial tumor thrombus usually requires circulatory arrest and sometimes cardiopulmonary by-pass. We present a case of non-metastatic renal cell carcinoma with a cavoatrial tumor thrombus in a patient who was unfit for cardiac surgery. Eight months of targeted molecular therapy downsized the tumor thrombus to inferior vena cava and allowed us to perform a radical nephrectomy with minimal cavothomy for thrombus resection.
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spelling pubmed-80446372021-04-16 Level IV tumor thrombus in non-metastatic renal cell cancer? No, thanks. Level II is better. Lessons learned from a case report Galosi, Andrea Benedetto Papaveri, Alessio Castellani, Daniele Agostini, Edoardo Burattini, Luciano Dell’Atti, Lucio Urol Case Rep Oncology Up to 19% of patients with renal cell carcinoma present with a venous thrombus at diagnosis and 1% have a thrombus extending above the diaphragm. The higher the thrombus level, the more challenging the surgery. Cavoatrial tumor thrombus usually requires circulatory arrest and sometimes cardiopulmonary by-pass. We present a case of non-metastatic renal cell carcinoma with a cavoatrial tumor thrombus in a patient who was unfit for cardiac surgery. Eight months of targeted molecular therapy downsized the tumor thrombus to inferior vena cava and allowed us to perform a radical nephrectomy with minimal cavothomy for thrombus resection. Elsevier 2021-03-25 /pmc/articles/PMC8044637/ /pubmed/33868935 http://dx.doi.org/10.1016/j.eucr.2021.101660 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Oncology
Galosi, Andrea Benedetto
Papaveri, Alessio
Castellani, Daniele
Agostini, Edoardo
Burattini, Luciano
Dell’Atti, Lucio
Level IV tumor thrombus in non-metastatic renal cell cancer? No, thanks. Level II is better. Lessons learned from a case report
title Level IV tumor thrombus in non-metastatic renal cell cancer? No, thanks. Level II is better. Lessons learned from a case report
title_full Level IV tumor thrombus in non-metastatic renal cell cancer? No, thanks. Level II is better. Lessons learned from a case report
title_fullStr Level IV tumor thrombus in non-metastatic renal cell cancer? No, thanks. Level II is better. Lessons learned from a case report
title_full_unstemmed Level IV tumor thrombus in non-metastatic renal cell cancer? No, thanks. Level II is better. Lessons learned from a case report
title_short Level IV tumor thrombus in non-metastatic renal cell cancer? No, thanks. Level II is better. Lessons learned from a case report
title_sort level iv tumor thrombus in non-metastatic renal cell cancer? no, thanks. level ii is better. lessons learned from a case report
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8044637/
https://www.ncbi.nlm.nih.gov/pubmed/33868935
http://dx.doi.org/10.1016/j.eucr.2021.101660
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