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Radical resection of a late-relapsed testicular germ cell tumour: hepatectomy, cavotomy, and thrombectomy.

Ní Leidhin C, Redmond CE, Cahalane AM, Heneghan HM, Motyer R, Ryan ER, Hoti E - Case Rep Surg (2014)

Bottom Line: We present the case of a late and extensively relapsed nonseminomatous germ cell tumour with thrombus present along the entire length of the inferior vena cava, as well as in the right hepatic vein.Techniques practised in liver transplantation were used to achieve complete resection of the tumour thrombus.This case illustrates the enhanced potential for tumour resection through a fusion of principles derived from surgical oncology and liver transplantation.

View Article: PubMed Central - PubMed

Affiliation: Departments of Hepatobiliary Surgery and Radiology, The National Liver Transplant Unit, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.

ABSTRACT
Up to 3.2% of patients with testicular germ cell tumours represent with late-relapsing disease. Aggressive surgical resection confers the greatest chance of cure in this patient group. We present the case of a late and extensively relapsed nonseminomatous germ cell tumour with thrombus present along the entire length of the inferior vena cava, as well as in the right hepatic vein. Techniques practised in liver transplantation were used to achieve complete resection of the tumour thrombus. This case illustrates the enhanced potential for tumour resection through a fusion of principles derived from surgical oncology and liver transplantation.

No MeSH data available.


Related in: MedlinePlus

Reformatted coronal CT image demonstrating contiguous tumour thrombus in the inferior vena cava extending to the junction of the right atrium.
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Related In: Results  -  Collection


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fig1: Reformatted coronal CT image demonstrating contiguous tumour thrombus in the inferior vena cava extending to the junction of the right atrium.

Mentions: He was well until six years after treatment, when he represented with general malaise and bipedal oedema. A CT scan demonstrated contiguous thrombus in the inferior vena cava (IVC) extending to the junction of the right atrium (RA) (Figure 1) and involving the right hepatic vein (RHV) (Figure 2) as well as enlarged aortocaval lymph nodes, suspicious for metastatic disease. Biopsy of the thrombus confirmed recurrent combined GCT.


Radical resection of a late-relapsed testicular germ cell tumour: hepatectomy, cavotomy, and thrombectomy.

Ní Leidhin C, Redmond CE, Cahalane AM, Heneghan HM, Motyer R, Ryan ER, Hoti E - Case Rep Surg (2014)

Reformatted coronal CT image demonstrating contiguous tumour thrombus in the inferior vena cava extending to the junction of the right atrium.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4281470&req=5

fig1: Reformatted coronal CT image demonstrating contiguous tumour thrombus in the inferior vena cava extending to the junction of the right atrium.
Mentions: He was well until six years after treatment, when he represented with general malaise and bipedal oedema. A CT scan demonstrated contiguous thrombus in the inferior vena cava (IVC) extending to the junction of the right atrium (RA) (Figure 1) and involving the right hepatic vein (RHV) (Figure 2) as well as enlarged aortocaval lymph nodes, suspicious for metastatic disease. Biopsy of the thrombus confirmed recurrent combined GCT.

Bottom Line: We present the case of a late and extensively relapsed nonseminomatous germ cell tumour with thrombus present along the entire length of the inferior vena cava, as well as in the right hepatic vein.Techniques practised in liver transplantation were used to achieve complete resection of the tumour thrombus.This case illustrates the enhanced potential for tumour resection through a fusion of principles derived from surgical oncology and liver transplantation.

View Article: PubMed Central - PubMed

Affiliation: Departments of Hepatobiliary Surgery and Radiology, The National Liver Transplant Unit, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.

ABSTRACT
Up to 3.2% of patients with testicular germ cell tumours represent with late-relapsing disease. Aggressive surgical resection confers the greatest chance of cure in this patient group. We present the case of a late and extensively relapsed nonseminomatous germ cell tumour with thrombus present along the entire length of the inferior vena cava, as well as in the right hepatic vein. Techniques practised in liver transplantation were used to achieve complete resection of the tumour thrombus. This case illustrates the enhanced potential for tumour resection through a fusion of principles derived from surgical oncology and liver transplantation.

No MeSH data available.


Related in: MedlinePlus