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首页> 外文期刊>BMC research notes >Inferior vena cava tumor thrombus after partial nephrectomy for renal cell carcinoma
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Inferior vena cava tumor thrombus after partial nephrectomy for renal cell carcinoma

机译：肾细胞癌部分肾切除术后下腔静脉肿瘤血栓

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Background Partial nephrectomy is now the gold standard treatment for small renal tumors. Local recurrence is a major problem after partial nephrectomy, and local recurrence in the remnant kidney after partial nephrectomy is common. Case presentation A 77-year-old man underwent right partial nephrectomy for a T1 right renal cell carcinoma. Microscopic examination revealed a clear cell renal carcinoma, grade 2, stage pT3a. Although the surgical margin was negative, the carcinoma invaded the perirenal fat, and vascular involvement was strongly positive. Thirty months after partial nephrectomy, an enhanced computed tomographic scan showed local recurrence of the renal cell carcinoma extending into the inferior vena cava without renal mass. Hence, we performed right radical nephrectomy and intracaval thrombectomy. Microscopic examination revealed a clear cell carcinoma grade 2, stage pT3a?+?b. The patient is still alive with no evidence of recurrence 10?months post-procedure. Conclusion To our knowledge, local recurrence of renal cell carcinoma extending into the inferior vena cava after partial nephrectomy has not been reported in the literature. Our case report emphasizes the importance of strict surveillance of patients after partial nephrectomy, especially for those with renal cell carcinoma positive for microvessel involvement.
机译：背景技术部分肾切除术现已成为治疗小型肾脏肿瘤的金标准治疗方法。局部肾切除术后局部复发是一个主要问题，而部分肾切除术后残余肾脏局部复发很常见。病例报告一名77岁的男性因T1右肾细胞癌接受了右部分肾切除术。显微镜检查显示为透明细胞肾癌，2级，pT3a期。尽管手术切缘阴性，但癌侵犯了肾周脂肪，血管受累呈强阳性。肾部分切除术后30个月，增强的X线断层扫描显示，肾细胞癌的局部复发扩散到下腔静脉而无肾肿块。因此，我们进行了右根肾切除术和腔内血栓切除术。镜检可见透明细胞癌2级，pT3a2 +βb期。病人仍然活着，没有术后10个月复发的迹象。结论据我们所知，尚无文献报道部分肾切除术后肾细胞癌局部扩散至下腔静脉的局部复发。我们的病例报告强调了对部分肾切除术后患者进行严格监视的重要性，特别是对于微血管受累的肾细胞癌患者。

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