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Case Reports
. 2016 Apr-Jun;32(2):161-3.
doi: 10.4103/0970-1591.174782.

Adrenocortical carcinoma with inferior vena cava thrombus: Renal preserving surgery

Rahul Yadav  1 , Vimal Dassi  1 , Anant Kumar  1
Affiliations
Case Reports

Adrenocortical carcinoma with inferior vena cava thrombus: Renal preserving surgery

Rahul Yadav et al. Indian J Urol. 2016 Apr-Jun.

Abstract

Adrenocortical carcinoma with tumor thrombus extending via an adrenal vein into the inferior vena cava is uncommon. We describe a left side kidney-preserving surgery in such a patient where, after transection of the main renal vein at the point of insertion of the adrenal vein, the left kidney was being drained by lumbar and gonadal veins.

Keywords: Adrenocortical carcinoma; inferior vena cava thrombus; renal preserving surgery.

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Figures

Figure 1
Figure 1
(a) Illustration showing adrenal cortical carcinoma with tumor thrombus extending into inferior vena cava. (b) Contrast enhanced computed tomography abdomen showing adrenal mass with tumor thrombus extending into inferior vena cava (Star depicting adrenal mass and arrow showing tumor thrombus extending from adrenal vein into renal vein and inferior vena cava)
Figure 2
Figure 2
(a) Pathology specimen showing resected adrenal mass along with inferior vena cava thrombus. (b) Illustration showing venous drainage of left kidney after wide excision of adrenal mass with inferior vena cava thrombectomy. (c) Contrast enhanced computed tomography abdomen at 1-year follow-up showing normal contrast uptake and enhancement in both kidneys
See this image and copyright information in PMC

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