Tumor thrombus of the inferior vena cava resulting from renal carcinoma. A report on 12 autopsied cases.

Tumor thrombus of the inferior vena cava resulting from renal carcinoma. A report on 12 autopsied cases.
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肾癌引起的下腔静脉癌栓。

DOI:
10.3109/00365596909135412
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发表时间:
1969
影响因子:
--
通讯作者:
S. Svane
S. Svane
中科院分区:
--
文献类型:
--
作者:
S. Svane

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研究人员对 126 例肾癌(肾过多瘤)病例进行连续尸检,研究肿瘤生长到下腔静脉(“Geschwulstthrombose”)的情况。 12 例 (9.5%) 证实了这一点。整个系列包括几个偶然发现的小肿瘤,几乎可以肯定这些肿瘤不具有临床重要性。瘤栓的长度差异很大。在 3 例病例中,它延伸至或进入心脏右侧。病理结果和临床表现差异很大。在一些病例中,肾脏症状很少甚至完全不存在。 1 例死前被认为肿瘤侵犯腔静脉,1 例在肾切除术中证实。在其他病例中,肿瘤血栓是在尸检时首次发现的。本次调查中的任何病例均未使用腔静脉造影。本系列和其他作者的观察表明,肾癌血栓的存在并不一定意味着存在转移......
126 consecutive autopsies on cases of renal carcinoma (hypernephroma) were studied with regard to growth of the tumor into the inferior vena cava (“Geschwulstthrombose”). This was demonstrated in 12 cases (9.5%). The total series included several small tumors, discovered by chance, which had almost certainly been of no clinical importance. The length of the tumor thrombus varied considerably. In 3 cases it extended as far as to or into the right side of the heart. Both the pathological findings and the clinical manifestations were very variable. In several cases renal symptoms were few or even completely absent. Tumor invasion of the vena cava was considered pre-mortem in 1 case and demonstrated at nephrectomy in 1 case. In the other cases the tumor thrombus was first revealed at autopsy. Cavography was not used in any of the cases in this investigation.This series and the observations of other authors indicate that the presence of a renal tumor thrombus does not necessarily mean that there are metastases...