Key result
Combined abdominal and cardiac surgery was successfully undertaken for an adrenal tumor extending to the right atrium, suggesting intravascular extension is not a contraindication to surgery.
Case Report (n=1)
Intravascular extension of adrenal carcinoma to the right atrium should not be considered a contraindication to surgery, as it may provide the only hope for long-term survival.
Malignancy of the adrenal cortex is a rare but aggressive and grows rapidly and metastases to liver, lungs, kidneys, bones. Very rarely tumor thrombus may extend through the inferior vena cava to the right atrium. This may be picked up by Computerised tomography (CT scan) of the abdomen and further supported by a transesophageal echocardiography. We represent a case report of a patient who presented insidiously with abdominal lump and was subsequently diagnosed as adrenal tumor with tumor extension to right atrium. A combined abdominal and cardiac surgery was undertaken. The presence of intravascular extension should not be considered as a contraindication to surgery, in contrast it provides the only hope of long term survival.
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A 2007 study conducted a case report in Adrenal carcinoma with tumor extending to right atrium (n=1). Combined abdominal and cardiac surgery was evaluated. Combined abdominal and cardiac surgery was successfully undertaken for an adrenal tumor extending to the right atrium, suggesting intravascular extension is not a contraindication to surgery.
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