Renal adenocarcinoma with venous tumor extension to the right atrium: diagnostic and therapeutic considerations

We report our experience in two cases of renal adenocarcinoma with tumor thrombus extending into the right atrium. The literature is reviewed and the diagnostic aspects, surgical techniques, complications, mortality and aspects of retroperitoneal collateral venous blood supply are discussed. The cli...

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Bibliographic Details
Published in:	Archivos españoles de urología Vol. 49; no. 1; p. 17
Main Authors:	Herranz Amo, F, Verdú Tartajo, F, Díez Cordero, J M, Hernández Fernández, C, González de Diego, F, Vallejo, J L, González Chamorro, F, Moncado Iribarren, I, Lledó García, E
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-01-1996
Subjects:	Adenocarcinoma - diagnosis Adenocarcinoma - secondary Adenocarcinoma - surgery Aged Heart Atria Humans Kidney Neoplasms - diagnosis Kidney Neoplasms - pathology Kidney Neoplasms - surgery Male Middle Aged Neoplastic Cells, Circulating Renal Veins Retrospective Studies Vena Cava, Inferior
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Summary:	We report our experience in two cases of renal adenocarcinoma with tumor thrombus extending into the right atrium. The literature is reviewed and the diagnostic aspects, surgical techniques, complications, mortality and aspects of retroperitoneal collateral venous blood supply are discussed. The clinical records of both patients are reviewed, with special reference to the diagnostic approach and the surgical technique utilized. The cephalad portion of the thrombus in the right atrium was accurately defined by MRI. Both patients underwent radical nephrectomy and infrahepatic inferior cavectomy, with cardiopulmonary bypass without cardiocirculatory arrest. MRI was the method that best defined the cephalad portion of the tumor thrombus extending into the right atrium. The bypass technique utilized allowed complete removal of the thrombus without intraoperative complications.
ISSN:	0004-0614