DOI QR코드

DOI QR Code

Successful Management of Pulmonary and Inferior Vena Cava Tumor Embolism from Renal Cell Carcinoma

  • Shim, Hunbo (Division of Cardiovascular Surgery, Department of Cardiothoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Wook Sung (Division of Cardiovascular Surgery, Department of Cardiothoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Young-Wook (Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yang, Shin-Seok (Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Duk-Kyung (Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2012.02.27
  • 심사 : 2012.03.07
  • 발행 : 2012.10.05

초록

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.

키워드

참고문헌

  1. Veinot JP, Ford SE, Price RG. Subacute cor pulmonale due to tumor embolization. Arch Pathol Lab Med 1992;116: 131-134.
  2. King MB, Harmon KR. Unusual forms of pulmonary embolism. Clin Chest Med 1994;15:561-580.
  3. Rossi SE, Goodman PC, Franquet T. Nonthrombotic pulmonary emboli. AJR Am J Roentgenol 2000;174:1499-1508. https://doi.org/10.2214/ajr.174.6.1741499
  4. Daughtry JD, Stewart BH, Golding LA, Groves LK. Pulmonary embolus presenting as the initial manifestation of renal cell carcinoma. Ann Thorac Surg 1977;24:178-181. https://doi.org/10.1016/S0003-4975(10)63730-7
  5. Marshall VF, Middleton RG, Holswade GR, Goldsmith EI. Surgery for renal cell carcinoma in the vena cava. J Urol 1970;103:414-420. https://doi.org/10.1016/S0022-5347(17)61970-0
  6. Masumori N, Kumamoto Y, Tsukamoto T, et al. Studies on pulmonary metastasis of renal cell carcinoma: pulmonary embolism revealed by lung-perfusion imaging and metastasis. Nihon Hinyokika Gakkai Zasshi 1991;82:769-775.
  7. Yazici S, Inci K, Bilen CY, et al. Renal cell carcinoma with inferior vena cava thrombus: the Hacettepe experience. Urol Oncol 2010;28:603-609. https://doi.org/10.1016/j.urolonc.2008.11.017

피인용 문헌

  1. Managing the oncologic patient with suspected pneumonia in the intensive care unit vol.14, pp.10, 2016, https://doi.org/10.1080/14787210.2016.1228453
  2. Prognostic Benefit of Surgical Management of Renal Cell Carcinoma Invading the Inferior Vena Cava vol.8, pp.1, 2012, https://doi.org/10.1007/s13193-016-0528-y