Key result
Aggressive surgical treatment including pulmonary and inferior vena cava embolectomy combined with radical nephrectomy successfully managed a severe case of tumor embolism from renal cell carcinoma.
Case Report (n=1)
No
Aggressive surgical treatment including pulmonary embolectomy and nephrectomy can successfully manage severe pulmonary tumor embolism from renal cell carcinoma.
May support aggressive surgery in select renal cell carcinoma tumor embolism cases; hypothesis-generating and requires validation before wider use.
Pulmonary tumor embolism can be a cause of respiratory failure in patients with cancer even though it occurs rarely. We describe a 56-year-old man who underwent a pulmonary tumor embolectomy using cardiopulmonary bypass on beating heart combined with inferior vena cava embolectomy and right radical nephrectomy. Aggressive surgical treatment in this severe case is necessary not only to reduce the fatal outcome of pulmonary embolism in the short run, but also to improve the oncological prognosis in the long term.
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Shim et al. (2012) conducted a case report in Pulmonary and Inferior Vena Cava Tumor Embolism from Renal Cell Carcinoma (n=1). Pulmonary and inferior vena cava tumor embolectomy with right radical nephrectomy was evaluated on Clinical outcome. Aggressive surgical treatment including pulmonary and inferior vena cava embolectomy combined with radical nephrectomy successfully managed a severe case of tumor embolism from renal cell carcinoma.
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