18‐year recurrence‐free survival after extensive surgery for kidney cancer with atrial tumor thrombi
: Tumor thrombus formation is a unique aspect of renal cell carcinoma with significant therapeutic and prognostic implications. The prognostic significance of cephalad extent of tumor thrombi to the right atrium remains controversial. Extended surgical removal, however, is the only way to expect su...
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| Veröffentlicht in: | International journal of urology 2007-10, Vol.14 (10), p.957-959 |
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| container_title | International journal of urology |
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| creator | Nouh, Mohammed Ahmed Abdel‐Muneem Inui, Masashi Sugimoto, Mikio Kakehi, Yoshiyuki Yasukawa, Akihiro |
| description | : Tumor thrombus formation is a unique aspect of renal cell carcinoma with significant therapeutic and prognostic implications. The prognostic significance of cephalad extent of tumor thrombi to the right atrium remains controversial. Extended surgical removal, however, is the only way to expect survival. In 1989, a 40‐year‐old man was diagnosed with an advanced renal cell carcinoma (T3CN2M0) involving perinephric fat, hilar and para‐aortic lymph nodes and a tumor thrombus extending to the right atrium. He was treated with extensive surgical resection of the tumor and its lymphatic and vascular extensions. Interferon‐α injections were given for 2.5 years as an adjuvant immunotherapy. The patient was annually checked with abdominal ultrasound, chest X‐ray and computed tomography, but has manifested no local or distant metastasis for 18 years. To our knowledge, this is the first reported case of extensive surgery on advanced renal cell carcinoma with no evidence of recurrence for 18 years. |
| doi_str_mv | 10.1111/j.1442-2042.2007.01884.x |
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The prognostic significance of cephalad extent of tumor thrombi to the right atrium remains controversial. Extended surgical removal, however, is the only way to expect survival. In 1989, a 40‐year‐old man was diagnosed with an advanced renal cell carcinoma (T3CN2M0) involving perinephric fat, hilar and para‐aortic lymph nodes and a tumor thrombus extending to the right atrium. He was treated with extensive surgical resection of the tumor and its lymphatic and vascular extensions. Interferon‐α injections were given for 2.5 years as an adjuvant immunotherapy. The patient was annually checked with abdominal ultrasound, chest X‐ray and computed tomography, but has manifested no local or distant metastasis for 18 years. To our knowledge, this is the first reported case of extensive surgery on advanced renal cell carcinoma with no evidence of recurrence for 18 years.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/j.1442-2042.2007.01884.x</identifier><identifier>PMID: 17880301</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; atrial thrombi ; Carcinoma, Renal Cell - pathology ; Carcinoma, Renal Cell - surgery ; case report ; Disease-Free Survival ; Follow-Up Studies ; Heart Atria - pathology ; Heart Atria - surgery ; Heart Neoplasms - pathology ; Heart Neoplasms - secondary ; Heart Neoplasms - surgery ; Humans ; Kidney Neoplasms - pathology ; Kidney Neoplasms - surgery ; Male ; Neoplasm Recurrence, Local ; Neoplastic Cells, Circulating - pathology ; renal cell carcinoma ; Survivors ; Vena Cava, Inferior - pathology ; Vena Cava, Inferior - surgery</subject><ispartof>International journal of urology, 2007-10, Vol.14 (10), p.957-959</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4204-ce22d4a8e399b78bda123609d0acff67af6ead187f6de1a2d99167aa151b228b3</citedby><cites>FETCH-LOGICAL-c4204-ce22d4a8e399b78bda123609d0acff67af6ead187f6de1a2d99167aa151b228b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1442-2042.2007.01884.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1442-2042.2007.01884.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17880301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nouh, Mohammed Ahmed Abdel‐Muneem</creatorcontrib><creatorcontrib>Inui, Masashi</creatorcontrib><creatorcontrib>Sugimoto, Mikio</creatorcontrib><creatorcontrib>Kakehi, Yoshiyuki</creatorcontrib><creatorcontrib>Yasukawa, Akihiro</creatorcontrib><title>18‐year recurrence‐free survival after extensive surgery for kidney cancer with atrial tumor thrombi</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>: Tumor thrombus formation is a unique aspect of renal cell carcinoma with significant therapeutic and prognostic implications. The prognostic significance of cephalad extent of tumor thrombi to the right atrium remains controversial. Extended surgical removal, however, is the only way to expect survival. In 1989, a 40‐year‐old man was diagnosed with an advanced renal cell carcinoma (T3CN2M0) involving perinephric fat, hilar and para‐aortic lymph nodes and a tumor thrombus extending to the right atrium. He was treated with extensive surgical resection of the tumor and its lymphatic and vascular extensions. Interferon‐α injections were given for 2.5 years as an adjuvant immunotherapy. The patient was annually checked with abdominal ultrasound, chest X‐ray and computed tomography, but has manifested no local or distant metastasis for 18 years. To our knowledge, this is the first reported case of extensive surgery on advanced renal cell carcinoma with no evidence of recurrence for 18 years.</description><subject>Adult</subject><subject>atrial thrombi</subject><subject>Carcinoma, Renal Cell - pathology</subject><subject>Carcinoma, Renal Cell - surgery</subject><subject>case report</subject><subject>Disease-Free Survival</subject><subject>Follow-Up Studies</subject><subject>Heart Atria - pathology</subject><subject>Heart Atria - surgery</subject><subject>Heart Neoplasms - pathology</subject><subject>Heart Neoplasms - secondary</subject><subject>Heart Neoplasms - surgery</subject><subject>Humans</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidney Neoplasms - surgery</subject><subject>Male</subject><subject>Neoplasm Recurrence, Local</subject><subject>Neoplastic Cells, Circulating - pathology</subject><subject>renal cell carcinoma</subject><subject>Survivors</subject><subject>Vena Cava, Inferior - pathology</subject><subject>Vena Cava, Inferior - surgery</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1O5DAQhS00CHqAKyCvZpeMywmJs2CB0PAzQmIDa8tJyrSbpAPlpLuz4wickZOMQ7eYLd6UVe-9qtLHGAcRQ3i_FzGkqYykSGUshchjAUql8WaPzb6EH2wmCigiBbk8ZD-9XwgBiQR1wA4hV0okAmZsDurj7X1EQ5ywGohwWWHoWELkfqCVW5mGG9sjcdz0uPRu9Sk8IY3cdsSfXb3EkVcmBImvXT_npicXUv3QBr2fU9eW7pjtW9N4PNnVI_Z49efh8ia6u7--vby4i6o0XB1VKGWdGoVJUZS5KmsDMslEUQtTWZvlxmZoalC5zWoEI-uigNA1cAallKpMjtiv7dwX6l4H9L1una-wacwSu8HrTMkiSVIRjGprrKjzntDqF3KtoVGD0BNlvdATTD3B1BNl_UlZb0L0dLdjKFus_wd3WIPhfGtYuwbHbw_Wt38fp1_yD91wj1A</recordid><startdate>200710</startdate><enddate>200710</enddate><creator>Nouh, Mohammed Ahmed Abdel‐Muneem</creator><creator>Inui, Masashi</creator><creator>Sugimoto, Mikio</creator><creator>Kakehi, Yoshiyuki</creator><creator>Yasukawa, Akihiro</creator><general>Blackwell Publishing Asia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200710</creationdate><title>18‐year recurrence‐free survival after extensive surgery for kidney cancer with atrial tumor thrombi</title><author>Nouh, Mohammed Ahmed Abdel‐Muneem ; Inui, Masashi ; Sugimoto, Mikio ; Kakehi, Yoshiyuki ; Yasukawa, Akihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4204-ce22d4a8e399b78bda123609d0acff67af6ead187f6de1a2d99167aa151b228b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>atrial thrombi</topic><topic>Carcinoma, Renal Cell - pathology</topic><topic>Carcinoma, Renal Cell - surgery</topic><topic>case report</topic><topic>Disease-Free Survival</topic><topic>Follow-Up Studies</topic><topic>Heart Atria - pathology</topic><topic>Heart Atria - surgery</topic><topic>Heart Neoplasms - pathology</topic><topic>Heart Neoplasms - secondary</topic><topic>Heart Neoplasms - surgery</topic><topic>Humans</topic><topic>Kidney Neoplasms - pathology</topic><topic>Kidney Neoplasms - surgery</topic><topic>Male</topic><topic>Neoplasm Recurrence, Local</topic><topic>Neoplastic Cells, Circulating - pathology</topic><topic>renal cell carcinoma</topic><topic>Survivors</topic><topic>Vena Cava, Inferior - pathology</topic><topic>Vena Cava, Inferior - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nouh, Mohammed Ahmed Abdel‐Muneem</creatorcontrib><creatorcontrib>Inui, Masashi</creatorcontrib><creatorcontrib>Sugimoto, Mikio</creatorcontrib><creatorcontrib>Kakehi, Yoshiyuki</creatorcontrib><creatorcontrib>Yasukawa, Akihiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nouh, Mohammed Ahmed Abdel‐Muneem</au><au>Inui, Masashi</au><au>Sugimoto, Mikio</au><au>Kakehi, Yoshiyuki</au><au>Yasukawa, Akihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>18‐year recurrence‐free survival after extensive surgery for kidney cancer with atrial tumor thrombi</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2007-10</date><risdate>2007</risdate><volume>14</volume><issue>10</issue><spage>957</spage><epage>959</epage><pages>957-959</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>: Tumor thrombus formation is a unique aspect of renal cell carcinoma with significant therapeutic and prognostic implications. The prognostic significance of cephalad extent of tumor thrombi to the right atrium remains controversial. Extended surgical removal, however, is the only way to expect survival. In 1989, a 40‐year‐old man was diagnosed with an advanced renal cell carcinoma (T3CN2M0) involving perinephric fat, hilar and para‐aortic lymph nodes and a tumor thrombus extending to the right atrium. He was treated with extensive surgical resection of the tumor and its lymphatic and vascular extensions. Interferon‐α injections were given for 2.5 years as an adjuvant immunotherapy. The patient was annually checked with abdominal ultrasound, chest X‐ray and computed tomography, but has manifested no local or distant metastasis for 18 years. To our knowledge, this is the first reported case of extensive surgery on advanced renal cell carcinoma with no evidence of recurrence for 18 years.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>17880301</pmid><doi>10.1111/j.1442-2042.2007.01884.x</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult atrial thrombi Carcinoma, Renal Cell - pathology Carcinoma, Renal Cell - surgery case report Disease-Free Survival Follow-Up Studies Heart Atria - pathology Heart Atria - surgery Heart Neoplasms - pathology Heart Neoplasms - secondary Heart Neoplasms - surgery Humans Kidney Neoplasms - pathology Kidney Neoplasms - surgery Male Neoplasm Recurrence, Local Neoplastic Cells, Circulating - pathology renal cell carcinoma Survivors Vena Cava, Inferior - pathology Vena Cava, Inferior - surgery |
| title | 18‐year recurrence‐free survival after extensive surgery for kidney cancer with atrial tumor thrombi |
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