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Gonadal vein tumor thrombosis due to renal cell carcinoma.

Haghighatkhah H, Karimi MA, Taheri MS - Indian J Urol (2015 Jan-Mar)

Bottom Line: Renal cell carcinoma (RCC) had a tendency to extend into the renal vein and inferior vena cava, while extension into the gonadal vein has been rarely reported.Gonadal vein tumor thrombosis appears as an enhancing filling defect within the dilated gonadal vein anterior to the psoas muscle and shows an enhancement pattern identical to that of the original tumor.The possibility of gonadal vein thrombosis should be kept in mind when looking at an imaging study of patients with RCC.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT
Renal cell carcinoma (RCC) had a tendency to extend into the renal vein and inferior vena cava, while extension into the gonadal vein has been rarely reported. Gonadal vein tumor thrombosis appears as an enhancing filling defect within the dilated gonadal vein anterior to the psoas muscle and shows an enhancement pattern identical to that of the original tumor. The possibility of gonadal vein thrombosis should be kept in mind when looking at an imaging study of patients with RCC.

No MeSH data available.


Related in: MedlinePlus

An enhancing left renal mass containing necrosis and calcification is seen invading left renal vein (white arrows in a and b) and inferior vena cava (black arrows) with metastatic lesions of T12 vertebra. Tumor thrombosis of left ovarian vein (arrows in c and d) is evident as enhancing filling defect within dilated vein
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Figure 1: An enhancing left renal mass containing necrosis and calcification is seen invading left renal vein (white arrows in a and b) and inferior vena cava (black arrows) with metastatic lesions of T12 vertebra. Tumor thrombosis of left ovarian vein (arrows in c and d) is evident as enhancing filling defect within dilated vein

Mentions: A 57-year-old female presented with back pain and paraparesia, leading to the incidental discovery of a heterogeneous large mass involving the left kidney with vertebral, liver and pulmonary metastases, and invasion to the IVC and renal vein as well as ovarian vein tumor thrombosis, which was documented in contrast-enhanced CT by an enhancing low attenuation filling defect within dilated left ovarian vein [Figures 1 and 2]. CT guided biopsy from a vertebral lesion confirmed metastasis from renal cell carcinoma. After angiographic embolization for this unresectable tumor, external radiotherapy was administered for palliation. Several months later, she died due to extensive metastatic disease to brain, lung, liver, and bones.


Gonadal vein tumor thrombosis due to renal cell carcinoma.

Haghighatkhah H, Karimi MA, Taheri MS - Indian J Urol (2015 Jan-Mar)

An enhancing left renal mass containing necrosis and calcification is seen invading left renal vein (white arrows in a and b) and inferior vena cava (black arrows) with metastatic lesions of T12 vertebra. Tumor thrombosis of left ovarian vein (arrows in c and d) is evident as enhancing filling defect within dilated vein
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4300581&req=5

Figure 1: An enhancing left renal mass containing necrosis and calcification is seen invading left renal vein (white arrows in a and b) and inferior vena cava (black arrows) with metastatic lesions of T12 vertebra. Tumor thrombosis of left ovarian vein (arrows in c and d) is evident as enhancing filling defect within dilated vein
Mentions: A 57-year-old female presented with back pain and paraparesia, leading to the incidental discovery of a heterogeneous large mass involving the left kidney with vertebral, liver and pulmonary metastases, and invasion to the IVC and renal vein as well as ovarian vein tumor thrombosis, which was documented in contrast-enhanced CT by an enhancing low attenuation filling defect within dilated left ovarian vein [Figures 1 and 2]. CT guided biopsy from a vertebral lesion confirmed metastasis from renal cell carcinoma. After angiographic embolization for this unresectable tumor, external radiotherapy was administered for palliation. Several months later, she died due to extensive metastatic disease to brain, lung, liver, and bones.

Bottom Line: Renal cell carcinoma (RCC) had a tendency to extend into the renal vein and inferior vena cava, while extension into the gonadal vein has been rarely reported.Gonadal vein tumor thrombosis appears as an enhancing filling defect within the dilated gonadal vein anterior to the psoas muscle and shows an enhancement pattern identical to that of the original tumor.The possibility of gonadal vein thrombosis should be kept in mind when looking at an imaging study of patients with RCC.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

ABSTRACT
Renal cell carcinoma (RCC) had a tendency to extend into the renal vein and inferior vena cava, while extension into the gonadal vein has been rarely reported. Gonadal vein tumor thrombosis appears as an enhancing filling defect within the dilated gonadal vein anterior to the psoas muscle and shows an enhancement pattern identical to that of the original tumor. The possibility of gonadal vein thrombosis should be kept in mind when looking at an imaging study of patients with RCC.

No MeSH data available.


Related in: MedlinePlus