Recurrence of renal cell carcinoma with extensive vena caval thrombus three years after radical nephrectomy

Urologia Internationalis
Michael P FinkelsteinMuhammad S Choudhury

Abstract

A 70-year-old man, who had undergone a radical nephrectomy for localized renal cell carcinoma (RCC) three years ago, was recently evaluated for shortness of breath. During his work-up, a transesophageal echocardiogram and magnetic resonance imaging indicated an extensive vena caval thrombus originating from the renal vein stump. Successful vena caval thrombectomy with cardiopulmonary bypass confirmed that the thrombus was comprised of RCC. This is a rare type of RCC recurrence with an unusual timing (3 years after a nephrectomy), alerting the importance of strict follow-up on all patients even after complete surgical excision of all suspected tumors.

Citations

Mar 19, 2004·International Journal of Urology : Official Journal of the Japanese Urological Association·Andrea MinerviniRiccardo Minervini
Jul 4, 2006·The Journal of Urology·Benjamin LowentrittGeoffrey N Sklar

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