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Renal Pelvic Urothelial Carcinoma With Vena Caval Thrombus Mimicking Renal Cell Carcinoma

Authors
 Richilda Red Diaz  ;  Jong Kyou Kwon  ;  Joo Yong Lee  ;  Ji Hae Nahm  ;  Kang Su Cho  ;  Won Sik Ham  ;  Nam Hoon Cho  ;  Young Deuk Choi 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.55(9) : 624-627, 2014 
Journal Title
 KOREAN JOURNAL OF UROLOGY 
ISSN
 2005-6737 
Issue Date
2014
MeSH
Carcinoma, Renal Cell/pathology ; Diagnosis, Differential ; Humans ; Kidney Neoplasms/diagnosis ; Kidney Neoplasms/pathology* ; Lymph Node Excision/methods ; Male ; Middle Aged ; Nephrectomy/methods ; Renal Veins/diagnostic imaging* ; Thrombectomy/methods ; Thrombosis/diagnostic imaging* ; Tomography, X-Ray Computed ; Vena Cava, Inferior/diagnostic imaging*
Keywords
Renal cell carcinoma ; Thrombosis ; Transitional cell carcinoma
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.
Files in This Item:
T201403021.pdf Download
DOI
10.4111/kju.2014.55.9.624
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
7. Others (기타) > Dept. of Health Promotion (건강의학과) > 1. Journal Papers
Yonsei Authors
Kwon, Jong Kyou(권종규)
Diaz, Richilda Red(리칠다)
Lee, Joo Yong(이주용) ORCID logo https://orcid.org/0000-0002-3470-1767
Cho, Kang Su(조강수) ORCID logo https://orcid.org/0000-0002-3500-8833
Cho, Nam Hoon(조남훈) ORCID logo https://orcid.org/0000-0002-0045-6441
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
Ham, Won Sik(함원식) ORCID logo https://orcid.org/0000-0003-2246-8838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/99676
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