Multicentric pheochromocytoma and involvement of the inferior vena cava

Lucon, Antônio Marmo; Falci, Renato; Praxedes, José Nery; Machado, Marcel Cerqueira César; Saldanha, Luís Balthazar; Machado, Marcello Marcondes; Arap, Sami

doi:10.1590/s1516-31802001000200010

Cited by 12 publications

(13 citation statements)

References 22 publications

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“…In 2000, Hartgrink et al (12) collected 21 phaeochromocytomas with IVC involvement. Three additional case reports have been published (1, 16, 33). Overall, three case reports describe cavo‐atrial tumour thrombi (12, 25, 26).…”

Section: Phaeochromocytomasmentioning

confidence: 99%

Surgical Management of Advanced Malignant Adrenal Tumours

Musholt

2003

European Surg

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Summary: Background: Advanced adrenal carcinomas tend to infiltrate the adrenal vein and to grow intraluminally into the inferior vena cava, thereby diminishing or occluding the venous flow. Less often, tumour thrombi extend into the right atrium. Radical surgery requires caval or cavo‐atrial thrombectomy while maintaining vascular control, complemented by multivisceral resections, if applicable. Methods: A review of the literature – undertaken in order to describe surgical techniques as well as postoperative results in the treatment of organ‐exceeding adrenal cancer – and own experiences are the basis of management recommendations. Results: The extent of vascular involvement of adrenal neoplasms is classified into four different types, which require increasingly challenging surgical procedures. Low perioperative mortality and long tumour‐free survival rates are reported in malignant phaeochromocytomas, adrenocortical malignancies, and other primary adrenal neoplasms such as leiomyosarcoma. Conclusions: Nowadays, advanced disease does not preclude the patient from radical surgical therapy in adrenal malignancies. Advances in vascular surgery and extracorporeal bypass techniques have led to the development of safe techniques for the removal of tumour thrombi, even of the retrohepatic and subdiaphragmatic vena cava. The poor prognosis of patients without resection or with incomplete tumour resections justifies an aggressive surgical approach.

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Section: Phaeochromocytomasmentioning

confidence: 99%

Surgical Management of Advanced Malignant Adrenal Tumours

Musholt

2003

European Surg

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“…At present, pheochromocytoma associated with IVC thrombosis have been reported [9][10][11][12]. However, the vascular extension of pheochromocytoma into right atrium through IVC has never been reported in main china.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic management of gigantic pheochromocytoma resection with inferior vena cava and right atrium tumor thrombosis: A case report

Chen¹,

Liu²,

Liu³

et al. 2019

Preprint

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Background: This report describes one case of anesthetic management about surgical resection of a malignant phaeochromocytoma with tumor extension into vena cava and right atrium in a patient. Report for anesthetic management is limited in these patients under surgical resection until now. Case presentation: In September 2015, a 24-year-old male presented to the department of cardiology with right flank pain and hypertensive urgency in our hospital. Contrast-enhanced CT abdomen and MRI abdomen revealed a mass phaeochromocytoma in right adrenal, which invaded the right inferior vena cava（IVC）wall along with IVC thrombus. Echocardiography shown no abnormal detection. Finally, this patient gave up the surgical resection of phaeochromocytoma and chose the expectant treatment. In April 2018, this patient once again presented to the emergence department in our hospital, he had experienced persistent cough and intermittent wheezing for 5 hour. Contrast-enhanced CT and echocardiography shown existing IVC thrombus had extended into the right atrium. After the careful preoperative preparation, adrenalectomy with complete thrombus excision by inferior vena cava exploration and right atriotomy were performed successfully by a multidisciplinary team. After one month post-operation care, this patient healthily left our hospital. Conclusion: To the best of our knowledge, the occurrence of pheochromocytoma with IVC and right atrium thrombosis has not been reported in mainland China so far. This clinical case may supply a rare reference experience for surgical treatment and anesthetic management in the group of phaeochromocytoma patient with distance vascular extension.

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“…Until now, there has been no uniform standard for its phase division and treatment 2. Paragangliomas are mostly distributed in paraganglion-gathering areas, such as the adrenal glands, neck, mediastinum, or retroperitoneum,3–5 but rarely occur in the vaginal wall. This report will analyze one case of a young woman who suffered from vaginal paraganglioma, together with a review of other relevant literature.…”

Section: Introductionmentioning

confidence: 99%

Paraganglioma of the vagina: a case report and review of the literature

Tie

Li²,

Jiang

et al. 2014

OTT

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Vaginal paraganglioma is a rare and unusual tumor occurring in the vaginal wall. It is a solitary primary paraganglioma, especially in atypical sites. Herein, we report an unusual case of a 17-year-old woman who had not experienced vomiting, or hypertension. She was found to have an immobile solid mass in the right side of her vaginal wall. Positron emission tomography/computed tomography scans revealed a well-defined solid ovoid mass adjacent to the bladder and pelvic floor. Tumor markers were within the normal range. A transient blood pressure increase occurred during the biopsy. After oral administration of antihypertensive drugs, surgery was performed to completely remove the mass. Histopathological examination indicated that it was a paraganglioma of the vagina. Repeat computed tomography examination did not reveal any local recurrence or distant metastasis during the 12-month follow-up period.

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Multicentric pheochromocytoma and involvement of the inferior vena cava

Cited by 12 publications

References 22 publications

Surgical Management of Advanced Malignant Adrenal Tumours

Surgical Management of Advanced Malignant Adrenal Tumours

Anesthetic management of gigantic pheochromocytoma resection with inferior vena cava and right atrium tumor thrombosis: A case report

Paraganglioma of the vagina: a case report and review of the literature

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