Abstract
We report herein the case of a patient we recently encountered who was found to have a giant retroperitoneal tumor coincident with tumor thrombus in the inferior vena cava (IVC). On the assumption that the origin was retroperitoneal, the two lesions were resected using an intracaval filter. However, histopathological examination of the specimens revealed neurilemoma for the retroperitoneal tumor and adenocarcinoma for the tumor thrombus. A right renal tumor was subsequently detected, which led to right nephrectomy being performed en bloc with part of the IVC using a venoarterial bypass. Microscopy revealed carcinoma of the Bellini duct, or collecting duct, which is an extremely rare tumor. Retrospectively, a lesion with soft tissue density was noted in the renal vein. Surgical management focused on the prevention of pulmonary embolism. We describe this case because of its extreme rarity and its significance from the viewpoint of diagnosis and therapeutic strategies.
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Lewis DJ, Moul JW, Williams SC, Sesterhenn IA, Colon E (1994) Perirenal liposarcoma containing extramedullary hematopoiesis associated with renal cell carcinoma. Urology 43:106–109
Park HR, Park CV, Choi NK, Park YE (1991) A case of retroperitoneal teratoma with nephroblastoma. J Korean Med Sci 6:95–102
Maddux HB, Walzer Y, Hobert JM, West W, Soloway MS (1984) Clinicopathological conference. Abdominal pain, left peritoneal mass and right renal mass in a 62-year-old man. J Urol 131:320–323
Brunner VP (1983) Scheinbare Spontanheilung eines “inoperablen Nierenkrebses.” Fortschr Med 101:1241–1244
Kashizuka T, Tanaka S, Itoh T, Fukada D, Ohshita Y, Tachibana S, Gotoh H, Andoh T, Kaji H (1989) A case of retroperitoneal leiomyosarcoma with differential time renal cell carcinoma (in Japanese). Gan no Rinsho (Jpn J Cancer Clin) 35:1087–1092
Kennedy SM, Merino MJ, LiNehan WM, Roberts JR, Robertson CN, (1990) Collecting duct carcinoma of the kidney. Human Pathol 21:449–456
Kantor AF (1977) Current concepts in the epidemiology and etiology of primary renal cell carcinoma. J Urol 117:415–417
Wynder EL, Mabuchi K, Whitmore Jr WF (1974) Epidemiology of adenocarcinoma of the kidney. J Natl Cancer Inst 53:1619–1634
Enzinger FM, Weiss SW (1988) Soft tissue tumors, 2nd edn. Mosby, St. Louis, pp 346–382
Scalan DB (1959) Primary retroperitoneal tumors. J Urol 81:740–745
Carter MD, Tha S, Mcloughlin, Owen DA (1992) Collecting duct carcinoma of the kidney: a case report and review of the literature. J Uro 147:1096–1098
Halenda G, Sees JN, Selis JA, Rohner Jr TJ (1993) Atypical renal adenocarcinoma with features suggesting collecting duct origin and mimicking a mucinous adenocarcinoma. Urology 41:165–168
Clayman RV, Gonzalez R, Fraley EE (1980) Renal cell cancer invading the inferior vena cava: clinical review and anatomical approach. J Urol 123:157–163
Pritchett TR, Lieskovsky G, Skinner DG (1986) Extension of renal cell carcinoma into the vena cava. Clinical review and surgical approach. J Urol 135:460–464
Marshall VF, Middleton RG, Holswade GR, Goldsmith EI (1970) Surgery for renal cell carcinoma in the vena cava. J Urol 103:414–420
Milne B, Cervenko FW, Morales A, Salerno TA (1981) Massive intraoperative pulmonary tumor embolus from renal cell carcinoma. Anesthesiology 54:253–255
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Furugaki, K., Yoshida, J., Chijiiwa, K. et al. Inferior vena caval thrombus associated with double neoplasms of the retroperitoneum and kidney: Report of a case. Surg Today 26, 658–661 (1996). https://doi.org/10.1007/BF00311677
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DOI: https://doi.org/10.1007/BF00311677