Adrenocortical carcinoma with inferior vena cava tumor thrombus found during surgery

INTRODUCTION: The safety and efficacy of minimally invasive approaches for adrenocortical carcinoma with inferior vena cava tumor thrombus have not yet been established. We report a case of large adrenocortical carcinoma with inferior vena cava tumor thrombus found perioperatively which required con...

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Detalles Bibliográficos
Autores principales: Nabeshima, Yuta, Yamashita, Shimpei, Deguchi, Ryusuke, Iwamoto, Ryuta, Warigaya, Kenji, Koike, Hiroyuki, Kikkawa, Kazuro, Kohjimoto, Yasuo, Murata, Shinichi, Hara, Isao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9436663/
https://www.ncbi.nlm.nih.gov/pubmed/36090946
http://dx.doi.org/10.1002/iju5.12489
Descripción
Sumario:INTRODUCTION: The safety and efficacy of minimally invasive approaches for adrenocortical carcinoma with inferior vena cava tumor thrombus have not yet been established. We report a case of large adrenocortical carcinoma with inferior vena cava tumor thrombus found perioperatively which required conversion from a laparoscopic to an open procedure. CASE PRESENTATION: A 71‐year‐old woman with right‐side 10‐cm diameter adrenocortical carcinoma was scheduled for laparoscopic adrenalectomy. The operation was converted to open surgery, however, because inferior vena cava tumor thrombus, which was not detected by preoperative imaging modalities, was found during surgery. CONCLUSION: In patients with large adrenocortical carcinoma, the possible presence of inferior vena cava thrombus should be considered when selecting surgical procedures.

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