Renal Pelvic Urothelial Carcinoma With Vena Caval Thrombus Mimicking Renal Cell Carcinoma
Diaz Richilda Red, 권종규, 이주용, 남지해, 조강수, 함원식, 조남훈, 최영득,
소속 상세정보
( Diaz Richilda Red )
Yonsei University College of Medicine Severance Hospital Department of Urology
권종규 ( Kwon Jong-Kyou )
Yonsei University College of Medicine Severance Hospital Department of Urology
이주용 ( Lee Joo-Yong )
Yonsei University College of Medicine Severance Hospital Department of Urology
남지해 ( Nahm Ji-Hae )
Yonsei University College of Medicine Department of Pathology
조강수 ( Cho Kang-Su )
Yonsei University College of Medicine Gangnam Severance Hospital Department of Urology
함원식 ( Ham Won-Sik )
Yonsei University College of Medicine Severance Hospital Department of Urology
조남훈 ( Cho Nam-Hoon )
Yonsei University College of Medicine Department of Pathology
최영득 ( Choi Young-Deuk )
Yonsei University College of Medicine Severance Hospital Department of Urology
KMID : 0358320140550090624
Abstract
A 61-year-old man presented with a right renal mass with a vena caval thrombus on computed tomography that was consistent with renal cell carcinoma. The results of routine laboratory examinations and urinalysis were within normal limits. Preoperative planning was critical owing to the presence of the vena caval thrombus. A radical nephrectomy, vena caval thrombectomy, and regional lymphadenectomy were done. The pathologic report was consistent with a high-grade, invasive urothelial carcinoma, with sarcomatoid differentiation involving the renal vein and inferior vena cava (Stage IV, T4N0M0). Thus, this was a rare case of upper tract urothelial carcinoma. Adjuvant chemotherapy with the methotrexate, vinblastine, doxorubicin, cisplatinum regimen is scheduled. To our knowledge, this is the first report in Korea of upper tract urothelial carcinoma of the sarcomatoid type with a vena caval thrombus.
키워드
Renal cell carcinoma;Thrombosis;Transitional cell carcinoma
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