Osteosarcoma metastatic to the kidney with invasion of the inferior vena cava
| Autor: | A. J. Norton, C. M. P. King, Rodney H. Reznek, J. E. Kingston |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Vena Cava Inferior Autopsy Inferior vena cava Metastasis Biopsy medicine Humans Neoplasm Invasiveness Radiology Nuclear Medicine and imaging Osteosarcoma Kidney medicine.diagnostic_test business.industry Antemortem Diagnosis General Medicine medicine.disease Kidney Neoplasms Surgery medicine.anatomical_structure medicine.vein Radiology Renal vein Tomography X-Ray Computed business |
| Zdroj: | The British Journal of Radiology. 65:827-830 |
| ISSN: | 1748-880X 0007-1285 |
| DOI: | 10.1259/0007-1285-65-777-827 |
| Popis: | Although renal metastases are found at autopsy in 12% of patients with osteosarcoma (McKenna et al, 1966), antemortem diagnosis is extremely rare. Deposits occur as part of widespread dissemination of the disease and the patients usually die of other effects before their renal disease becomes symptomatic. We report a patient who presented 5 years after treatment for a femoral osteosarcoma with a renal metastasis involving the renal vein and inferior vena cava which was demonstrated on computed tomography (CT) and ultrasound. This entity has not been previously described and the initial suspicion was that the patient had developed a further primary tumour. A 15-year-old male presented in January 1985 with a swelling above the left knee. Radiographs suggested an osteosarcoma and biopsy confirmed the diagnosis. Staging investigations, including CT of the chest and radionuclide bone scan, showed no evidence of metastases. Initial treatment was by limb sparing resection of the primary tumour with pre- and post... |
| Databáze: | OpenAIRE |
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