Key result
Radical nephrectomy and thrombectomy successfully resolves a level-IIId tumor thrombus initially misdiagnosed as bland.
Why the study?
Renal cell carcinoma with inferior vena cava tumor thrombus can be misdiagnosed as bland inferior vena cava thrombosis without careful imaging evaluation.
Case Report (n=1)
Highlights the importance of careful imaging evaluation to differentiate between malignant and bland inferior vena cava thrombus to avoid misdiagnosis and delayed surgical treatment.
Warrants heightened suspicion for tumor thrombus in papillary renal cell carcinoma; leaves open validation in larger cohorts.
Renal cell carcinoma with inferior vena cava tumor thrombus can be misdiagnosed as an inferior vena cava thrombosis if not evaluated carefully with imaging. We describe a case of renal cell carcinoma with inferior vena cava tumor thrombus that was initially misdiagnosed as an inferior vena cava thrombosis due to a possible hypercoagulable state. After 7 months of anticoagulation therapy with no improvement, a right radical nephrectomy and thrombectomy was performed without cardiopulmonary bypass, and a diagnosis of papillary renal cell carcinoma with a level-IIId tumor thrombus was confirmed with no presence of a bland thrombus. We demonstrate the complexity of identifying and treating renal cell carcinoma with venous tumor thrombus and the importance of differentiating between a malignant thrombus and a bland thrombus.
No takes yet. Share an insight, caveat, or question.
Tabbara et al. (2022) conducted a case report in Renal cell carcinoma with inferior vena cava tumor thrombus (n=1). Right radical nephrectomy and thrombectomy was evaluated. Right radical nephrectomy and thrombectomy successfully treated a case of papillary renal cell carcinoma with a level-IIId tumor thrombus that was initially misdiagnosed as a bland thrombus.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: