Key result
Vena caval thrombectomy with cardiopulmonary bypass successfully removes an extensive recurrent RCC thrombus.
Why the study?
Recurrence of renal cell carcinoma with extensive vena caval thrombus occurring three years after radical nephrectomy is rare and highlights the need for strict long-term follow-up.
Case Report (n=1)
Demonstrates a rare recurrence of renal cell carcinoma as an extensive vena caval thrombus 3 years after radical nephrectomy, highlighting the importance of long-term follow-up.
Supports consideration of thrombectomy for late IVC thrombus in RCC; extends limited case evidence but leaves open broader applicability.
A 70-year-old man, who had undergone a radical nephrectomy for localized renal cell carcinoma (RCC) three years ago, was recently evaluated for shortness of breath. During his work-up, a transesophageal echocardiogram and magnetic resonance imaging indicated an extensive vena caval thrombus originating from the renal vein stump. Successful vena caval thrombectomy with cardiopulmonary bypass confirmed that the thrombus was comprised of RCC. This is a rare type of RCC recurrence with an unusual timing (3 years after a nephrectomy), alerting the importance of strict follow-up on all patients even after complete surgical excision of all suspected tumors.
No takes yet. Share an insight, caveat, or question.
Finkelstein et al. (2002) conducted a case report in Renal cell carcinoma recurrence with vena caval thrombus (n=1). Vena caval thrombectomy with cardiopulmonary bypass was evaluated on Successful vena caval thrombectomy confirming thrombus comprised of RCC. Vena caval thrombectomy with cardiopulmonary bypass successfully removed an extensive vena caval thrombus comprised of recurrent renal cell carcinoma 3 years after radical nephrectomy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: