Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4289497 | International Journal of Surgery Case Reports | 2015 | 4 Pages |
Abstract
Wilms tumor (WT) occurs infrequently in adults. Even rarer is adult WT with extension by direct intravascular spread into the right side of the heart. The present report describes a WT with intracaval and intracardiac extension in a 38-year-young man. In addition, thrombus extension above the infrahepatic IVC represents a major technical topic for surgeons because of the possible occurrence of uncontrollable hemorrhages and tumor fragmentation. We report the results of a surgical approach to caval thrombosis including the isolation of the IVC from the liver as routinely performed during liver harvesting. The morphologic and immune-histochemical findings confirmed the diagnosis.
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Authors
V. Morabito, N. Guglielmo, F. Melandro, G. Mazzesi, F. Alesini, S. Bosco, P.B. Berloco,