Multiple Primary Synchronous Renal Cancer and Thyroid Gland Cancer at Patient with Doubling Inferior Vena Cava and Renal Veins on Both Sides (Clinical Case)
https://doi.org/10.24835/1607-0763-2017-1-36-43
Abstract
Renal cell carcinoma – the third on occurrence frequency tumor of urinogenital system and the most widespread renal tumor which makes about 2–3% of malignancies at adults. Doubling of inferior vena cava (IVC) is anomaly in case of which two inphrarenal segments of IVC are defined. Left IVC after lockin in it the left renal vein crosses an aorta in front, connects to the right renal vein and the right IVC. Combination of renal cell carcinoma and doubling IVC is rather seldom. The presented clinical case of a combination of renal cell carcinoma and doubling of IVC has the feature existence at the patient of metachronous multiple primary neoplasms that does necessary more careful inspection of the patient. Also a doubling of renal veins on both sides and a doubling of the left renal artery have been revealed. Possibilities of presurgical non-invasive diagnostics (ultrasonography and computer tomography) of retroperitoneal space vessels anomaly at the patient with transmural localization of kidney tumor allowing to plan and execute difficult surgery – an ex vivo resection of a left kidney in the conditions of pharmacological cold ischemia was shown. Performance of an ex vivo nephrectomy in the conditions of pharmacological cold ischemia allows to dilate indications to organ-preserving treatment of patients with the localized kidney cancer. However long cold ischemia and the subsequent vascular reconstruction demand dynamic observation over kidney’s functional conditions.
About the Authors
Yu. A. Stepanova
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
doct. of med. sci., the senior research of radiology methods of diagnostics and treatment department of A.V. Vishnevsky Institute of Surgery, Moscow
117997, Moscow, B. Serpukhovskaya str., 27, A.V. Vishnevsky Institute of Surgery. Phone: +7-499-236-44-14
A. A. Teplov
A.V. Vishnevsky Institute of Surgery
Russian Federation
doct. of med. sci., professor, Deputy Director of A.V. Vishnevsky Institute of Surgery, Moscow
Russian Federation
doct. of med. sci., professor, Deputy Director of A.V. Vishnevsky Institute of Surgery, Moscow
M. V. Morozova
A.V. Vishnevsky Institute of Surgery
Russian Federation
postgraduate student of radiology department of IPE of I.M. Sechenov First Moscow state medical university, Moscow
Russian Federation
postgraduate student of radiology department of IPE of I.M. Sechenov First Moscow state medical university, Moscow
A. A. Gritskevich
A.V. Vishnevsky Institute of Surgery
Russian Federation
cand. of med. sci., the senior research of the Urology department of A.V. Vishnevsky Institute of Surgery, Moscow
Russian Federation
cand. of med. sci., the senior research of the Urology department of A.V. Vishnevsky Institute of Surgery, Moscow
S. S. Pyanikin
A.V. Vishnevsky Institute of Surgery
Russian Federation
junior researcher of the Urology department of A.V. Vishnevsky Institute of Surgery, Moscow
Russian Federation
junior researcher of the Urology department of A.V. Vishnevsky Institute of Surgery, Moscow
O. A. Chekhoeva
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
junior researcher of ultrasound diagnostics department of A.V. Vishnevsky Institute of Surgery, Moscow
N. A. Karelskaya
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
cand. of med. sci., the senior research of Radiology department of A.V. Vishnevsky Institute of Surgery, Moscow
A. V. Glotov
A.V. Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
junior research fellow of Patological Anatomy Department of A.V. Vishnevsky Surgery Institute, Moscow
References
1. Jemal A., Tiwari R. C., Murray T. et al. Cancer Statistics, 2004. CA: Cancer J. Clin. 2004; 54 (1): 8–29. DOI: 10.3322/canjclin.54.1.8.
2. DeSantis C.E., Lin C.C., Mariotto A.B. et al. Cancer treatment and survivorship statistics, 2014. CA: Cancer J. Clin. 2014; 64 (4): 252–271. DOI: 10.3322/caac.21235.
3. Ginaldi S., Chuang V.P., Wallace S. Absence of hepatic segment of the inferior vena cava with azygous continuation. J. Comput. Assist. Tomogr. 1980; 4: 112–114. DOI: 10.1097/00004728-198002000-00021.
4. Bass J.E., Redwine M.D., Kramer L.A., Huynh P.T., Harris J.H. Jr. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging indings. Radiographics. 2000; 20 (3): 639–652. DOI: 10.1148/radiographics.20.3.g00ma09639.
5. Basnet K.S., Dhungel S. Variation in inferior vena cava with persistence of left posterior cardinal vein. A case report. Nepal. Med. Coll. J. 2011; 13 (1): 67–68.
6. Мухтарулина С.В., Каприн А.Д., Асташов В.Л., Асеева И.А. Варианты строения нижней полой вены и ее притоков: классификация, эмбриогенез, компьютерная диагностика и клиническое значение при парааортальной лимфодиссекции. Онкоурология. 2013; 3: 10–16. Mukhtarulina S.V., Kaprin A.D., Astashov V.L., Aseeva I.A. Options of inferior vena cava and its inflows structure: classification, embryogenesis, computer diagnostics and clinical value at a periaortal lymphadenectomy. Onkourologiya. 2013; 3: 10–16. (In Russian)
7. Баешко А.А., Жук Г.В., Орловский Ю.Н., Улезко Е.А., Савицкая Т.В., Горецкая И.В., Егорова В.В., Сомова О.А. Врожденные аномалии нижней полой вены: диагностика и консервативное лечение. Ангиология и сосудистая хирургия. 2007; 13 (1): 91–95. Bayeshko A.A., Zhuk G.V., Orlovskiy Yu.N., Ulezko E.A., Savitskaya T.V., Goretskaya I.V., Egorova V.V., Somova O.A. Congenital anomalies of inferior vena cava: diagnostics and conservative treatment. Angiologiya i sosudistaya khirurgiya. 2007; 13 (1): 91–95. (In Russian)
8. Hashinaka Y., Tada Y., Takasugi Y., Shin T., Inoue H., Nakano E. Vena cava resection for renal cell carcinoma with double vena cava inferior (author's transl). Nihon Hinyokika Gakkai Zasshi. 1979; 70 (12): 1331–1337.
9. Schofield D., Zaatari G.S., Gay B.B. Klippel-Trenaunay and Sturge-Weber syndromes with renal hemangioma and double inferior vena cava. J. Urol. 1986; 136 (2): 442–445.
10. Habuchi T., Okagaki T., Arai K., Miyakawa M. Renal cell carcinoma extending into left side of double inferior vena cava. Urology. 1993; 41 (2): 181–184.
11. Kumar S., Panigrahy B., Ravimohan S.M., Pandya S., Mandal A.K., Singh S.K. Rare case of renal cell carcinoma with double inferior vena cava with venous thrombosis. Urology. 2008; 72 (2): 461.e7-10. DOI: 10.1016/j.urology.2007.12.020.
12. Jiang Y., Duan L., Lu L., Zhao W.G., Zeng Z.P., Li H.Z., Zhang X.B. Rare case of reninoma with double inferior vena cava. Clin. Exp. Hypertens. 2011; 33(5): 325–327. DOI: 10.3109/10641963.2010.549264.
13. Yang B., Wang L., Wu Z., Li M., Wang H., Sheng J., Huang J., Liao S., Sun Y. Synchronous transperitoneal laparoscopic resection of right retroperitoneal schwannoma and left kidney monotypic PEComa in the presence of a duplicated inferior vena cava (IVC). Urology. 2012; 80 (1): e7-8. DOI: 10.1016/j.urology.2012.03.033.
14. Mao Y.-Q., Zhu S.-X., Zhang W. The iatrogenic injury of double vena cava due to misdiagnosis during the radical nephroureterectomy and cystectomy. Wld J. Surg. Oncol. 2015; 13: 41. DOI: 10.1186/s12957-015-0469-x.
15. Матвеев В.Б., Перлин Д.В., Фигурин К.М., Волкова М.И. Практическая онкология. 2005; 6 (3): 1652–166. Matveev V.B., Perlin D.V., Figurin K.M., Volkova M.I. Prakticheskaya oncologiya. 2005; 6 (3): 1652–166. (In Russian)
16. Berdjis N., Hakenberg O.W., Novotny V., Manseck A., Oehlschläger S., Wirth M.P. Nephron-sparing surgery for renal cell carcinoma in the solitary kidney. Scand. J. Urol. Nephrol. 2007; 41: 10–13. DOI: 10.1080/00365590600911225.
17. Wotkowicz C., Libertino J.A. Renal autotransplantation. BJU Int. 2004; 93: 253–257. DOI: 10.1111/j.1464-410X.2004.04596.x.
18. Грицкевич А.А., Пьяникин С.С., Адырхаев З.А., Степанова Ю.А., Казеннов В.В., Теплов А.А., Ревишвили А.Ш. Резекция почки ex vivo в условиях фармако-холодовой ишемии с последующей ортотопической аутотрансплантацией. Трансплантология. 2016; 3: 27–36. Gritskevich A.A., Pyanikin S.S., Adyrkhaev Z.A., Stepanova Yu.A., Kazenno V.V., Teplov A.A., Revishvili A.Sh. Ex vivo kidney resection in pharmacological cold ischemia followed by orthotopic autotransplantation. Transplantologiya. 2016; 3: 27–36. (In Russian)
Review
For citations:
Stepanova Yu.A., Teplov A.A., Morozova M.V., Gritskevich A.A., Pyanikin S.S., Chekhoeva O.A., Karelskaya N.A., Glotov A.V. Multiple Primary Synchronous Renal Cancer and Thyroid Gland Cancer at Patient with Doubling Inferior Vena Cava and Renal Veins on Both Sides (Clinical Case). Medical Visualization. 2017;(1):36-43. (In Russ.) https://doi.org/10.24835/1607-0763-2017-1-36-43
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