A Rare Case of Renal Cell Carcinoma With Inferior Vena Cava Invasion: A Life-Threatening Complication.
gerota's fascia
inferior vena cava
lung metastases
prosthetic replacement
renal cell carcinomas (rcc)
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
accepted:
26
12
2022
entrez:
30
1
2023
pubmed:
31
1
2023
medline:
31
1
2023
Statut:
epublish
Résumé
Renal cell carcinoma (RCC) arises from the renal tubular epithelial cells and comprises a group of heterogenous renal tumors. Renal tumors can metastasize to involve almost any body organ, the common sites being the lung, liver, bone, brain, adrenal gland, head, neck, and rarely, inferior vena cava (IVC), leading to lethal outcomes. We present a case of RCC with IVC invasion in a patient who presented with right-sided flank pain and gross hematuria. His routine biochemical and hematological parameters were unremarkable, and an abdominal examination revealed a complex renal mass with mild hydronephrosis. The patient underwent contrast-enhanced magnetic resonance angiography with venography, which showed a right renal upper polar mass lesion extending into the right vein obliterating it up to its junction with the IVC. Integrating examination and imaging findings were suggestive of right renal RCC. Our case highlights the importance of standard preoperative MRI imaging to assess IVC invasion and its morphologic features including vessel breach or complete occlusion of the IVC.
Identifiants
pubmed: 36712759
doi: 10.7759/cureus.32978
pmc: PMC9877276
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e32978Informations de copyright
Copyright © 2022, Nduji et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Indian J Urol. 2021 Jul-Sep;37(3):234-240
pubmed: 34465952
Eur Urol. 2009 Feb;55(2):452-9
pubmed: 18692951
Cancer Imaging. 2018 May 3;18(1):17
pubmed: 29724245
Turk J Urol. 2015 Mar;41(1):1-6
pubmed: 26328189
Urology. 2007 Jun;69(6):1054-8
pubmed: 17572185
Clin Med Oncol. 2008;2:247-56
pubmed: 21892286
World J Oncol. 2020 Jun;11(3):79-87
pubmed: 32494314
AJR Am J Roentgenol. 2019 Mar;212(3):562-569
pubmed: 30589382
Cancer Imaging. 2019 Dec 2;19(1):79
pubmed: 31791422
Biomed Res Int. 2020 Oct 06;2020:9530618
pubmed: 33083491
Radiographics. 2008 May-Jun;28(3):669-89
pubmed: 18480478
J Urol. 2008 Feb;179(2):450-4; discussion 454
pubmed: 18076946
Clin Case Rep. 2021 Nov 06;9(11):e05033
pubmed: 34765208