A diagnostic and management conundrum in a rare case of a small renal mass UTUC with IVC and bilateral renal vein tumour thrombus

Upper Tract Urothelial Carcinomas (UTUC) are generally uncommon, accounting for approximately 5% of all urinary tract tumours. This report describes a unique Case of a 52-year-old-male with no known risk factors or symptoms of UTUC, who presented with bilateral sub-massive pulmonary embolus (PE). Su...

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Autores principales: Jain, Anika, Nalavenkata, Sunny, Nahm, Chris, Yuen, Lawrence, Di Mascio, Delfino, Kim, Lawrence
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399384/
https://www.ncbi.nlm.nih.gov/pubmed/34485085
http://dx.doi.org/10.1016/j.eucr.2021.101817
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author Jain, Anika
Nalavenkata, Sunny
Nahm, Chris
Yuen, Lawrence
Di Mascio, Delfino
Kim, Lawrence
author_facet Jain, Anika
Nalavenkata, Sunny
Nahm, Chris
Yuen, Lawrence
Di Mascio, Delfino
Kim, Lawrence
author_sort Jain, Anika
collection PubMed
description Upper Tract Urothelial Carcinomas (UTUC) are generally uncommon, accounting for approximately 5% of all urinary tract tumours. This report describes a unique Case of a 52-year-old-male with no known risk factors or symptoms of UTUC, who presented with bilateral sub-massive pulmonary embolus (PE). Subsequent computed tomography (CT) demonstrated a small (<2cm) right cortical based mass a discordant venous tumour thrombus (VTT) extending in the IVC, up to the level of the hepatic vein and bilateral renal veins. The patient had surgical excision in the form of right radical nephroureterectomy, IVC resection with bovine pericardial graft reconstruction and left renal autotransplant.
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spelling pubmed-83993842021-09-02 A diagnostic and management conundrum in a rare case of a small renal mass UTUC with IVC and bilateral renal vein tumour thrombus Jain, Anika Nalavenkata, Sunny Nahm, Chris Yuen, Lawrence Di Mascio, Delfino Kim, Lawrence Urol Case Rep Oncology Upper Tract Urothelial Carcinomas (UTUC) are generally uncommon, accounting for approximately 5% of all urinary tract tumours. This report describes a unique Case of a 52-year-old-male with no known risk factors or symptoms of UTUC, who presented with bilateral sub-massive pulmonary embolus (PE). Subsequent computed tomography (CT) demonstrated a small (<2cm) right cortical based mass a discordant venous tumour thrombus (VTT) extending in the IVC, up to the level of the hepatic vein and bilateral renal veins. The patient had surgical excision in the form of right radical nephroureterectomy, IVC resection with bovine pericardial graft reconstruction and left renal autotransplant. Elsevier 2021-08-21 /pmc/articles/PMC8399384/ /pubmed/34485085 http://dx.doi.org/10.1016/j.eucr.2021.101817 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
Jain, Anika
Nalavenkata, Sunny
Nahm, Chris
Yuen, Lawrence
Di Mascio, Delfino
Kim, Lawrence
A diagnostic and management conundrum in a rare case of a small renal mass UTUC with IVC and bilateral renal vein tumour thrombus
title A diagnostic and management conundrum in a rare case of a small renal mass UTUC with IVC and bilateral renal vein tumour thrombus
title_full A diagnostic and management conundrum in a rare case of a small renal mass UTUC with IVC and bilateral renal vein tumour thrombus
title_fullStr A diagnostic and management conundrum in a rare case of a small renal mass UTUC with IVC and bilateral renal vein tumour thrombus
title_full_unstemmed A diagnostic and management conundrum in a rare case of a small renal mass UTUC with IVC and bilateral renal vein tumour thrombus
title_short A diagnostic and management conundrum in a rare case of a small renal mass UTUC with IVC and bilateral renal vein tumour thrombus
title_sort diagnostic and management conundrum in a rare case of a small renal mass utuc with ivc and bilateral renal vein tumour thrombus
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399384/
https://www.ncbi.nlm.nih.gov/pubmed/34485085
http://dx.doi.org/10.1016/j.eucr.2021.101817
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