Retroaortic left renal vein in testicular cancer patient: potential staging and treatment pitfall.

Autor: Moul JW; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799., Maggio MI, Hardy MR, Hartman DS
Jazyk: angličtina
Zdroj: The Journal of urology [J Urol] 1992 Feb; Vol. 147 (2), pp. 454-6.
DOI: 10.1016/s0022-5347(17)37269-5
Abstrakt: A 20-year-old man was diagnosed with a left mixed germ cell testicular tumor and clinical staging with computerized tomography suggested left para-aortic subhilar retroperitoneal adenopathy. The patient received 4 cycles of cisplatin, vinblastine and bleomycin chemotherapy but the mass in the left renal hilus area remained unchanged. Subsequent retroperitoneal lymphadenectomy revealed the mass to be a retroaoritc left renal vein type 2. Further confusion occurred during followup in differentiating this anomaly from recurrent neoplasm necessitating evaluation by magnetic resonance imaging. Retroaortic left renal vein represents a potential imaging pitfall in testicular cancer that may facilitate suboptimal staging, treatment and followup.
Databáze: MEDLINE