Renal Cell Carcinoma Migrating to the Right Atrium through the Inferior Vena Cava, need abstract)
Journal Title: The Journal of Medicine, Law & Public Health (JMLPH) - Year 2022, Vol 2, Issue 3
Abstract
A 63-year-old man with known type 2 diabetes mellitus, hypertension, and dyslipidemia was re-ferred to us from another hospital due to a right renal mass with inferior vena cava (IVC) extension. Three months prior, the patient hadcomplained of epigastric abdominal pain, severe constipation and back pain, with decreased appetite. He did not, however, have haematuria. Full labs, computed tomography of the chest, abdomen, and pelvis (CTCAP), and a bone scan were performed on the patient. Imaging revealed a 10.3 x 8.1 x 10 cm exophytic right renal mass, likely clear renal cell carcinoma, with right renal vein extension (white arrow). The suggested CT staging was T3bN0M0, with no bone metastasis, but a tumour thrombus was seen inthe suprahepatic IVC and right atrium. The IVC is completely thrombosed, withtumour thrombus proximally and bland thrombus distally (black arrow). The tumour thrombus extending to the right atrium of the heart in a cross-sectional CT scan (long arrow). The patient was started on pain medications and enoxaparin 80 mg twice daily, but was later switched to heparin due to ineffectiveness of the former treatments. Later, the patient developed shock, severe metabolic acidosis, and hepatic and renal failure. He died as a result of the tumour and the severe IVC thrombosis, which could not be removedsurgically.
Authors and Affiliations
Mohamad Bakir, Nariman Dyab, and Ayman Zaki Azzam
Keywords
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- EP ID EP732316
- DOI https://doi.org/10.52609/jmlph.v2i3.60
- Views 39
- Downloads 0
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