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タイトル: | 下大静脈内腫瘍血栓をともなった腎線維肉腫の1例 |
その他のタイトル: | A case of fibrosarcoma of the kidney extending into the inferior vena cava |
著者: | 滝川, 浩 香川, 征 中村, 章一郎 矢野, 正憲 川西, 泰夫 加藤, 逸夫 |
著者名の別形: | TAKIGAWA, Hiroshi KAGAWA, Susumu NAKAMURA, Shoichiro YANO, Masakazu KAWANISHI, Yasuo KATO, Itsuo |
キーワード: | Fibrosarcoma of the kidney Tumor thrombus in the inferior vena cava |
発行日: | Jun-1987 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 33 |
号: | 6 |
開始ページ: | 936 |
終了ページ: | 939 |
抄録: | A case of fibrosarcoma of the kidney extending into the inferior vena cava with intraoperative development of massive neoplastic pulmonary emboli is reported. A 38-year-old man was admitted to our hospital because of right renal tumor with gross hematuria, right flank pain and abdominal tumor. Inferior venacavograms and computerized tomography demonstrated almost total occlusion of the abdominal part of the vena cava by tumor thrombi. No signs of inferior vena caval involvement were present. Intraoperative pulmonary neoplastic emboli suddenly occurred after right nephrectomy was performed. Immediately, pulmonary thrombectomy was performed with extra-corporeal circulation. Postoperatively, pulse, blood pressure and ventilation were stable, but the patient remained unconscious and neurologic signs gradually deteriorated. Computerized tomography of the brain showed diffuse brain edema and infarctions. The patient died of cardiopulmonary insufficiency with multiple pulmonary metastasis 8 months postoperatively. We emphasize the risk of fragmentation and migration of the tumor thrombi during surgical treatment of neoplasm of the kidney invading the inferior vena cava. |
URI: | http://hdl.handle.net/2433/119158 |
PubMed ID: | 3673842 |
出現コレクション: | Vol.33 No.6 |
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