Pulmonary Embolism In Renal Cell Carcinoma With Vena Cava Extension

Autor: Frank Aldenborg, Sture Lindberg, Christen Henriksson, Silas Pettersson
Rok vydání: 1988
Předmět:
Zdroj: Scandinavian Journal of Urology and Nephrology. 22:215-218
ISSN: 1651-2065
0036-5599
DOI: 10.1080/00365599.1988.11690414
Popis: Of 18 patients with renal cell carcinoma extending into the inferior caval vein, 11 underwent nephrectomy and cavathrombectomy and were examined by pulmonary scintigraphy pre- and postoperatively. In 7 patients, who underwent non-radical surgery or no surgery at all and had died of generalized tumour, the postmortem examination reports were scrutinised. On pulmonary scintigraphy, altogether 6 patients (55%) were free from perfusion defects preoperatively. Between the pre- and postoperative examination, perfusion defects appeared, disappeared, varied in size or were unchanged. Only 4 patients (36%) had acquired new defects. The total number of defects preoperatively was 14 and postoperatively 12. Most defects engaged less than a pulmonary segment and only 2 a whole segment. None gave clinical symptoms. No macroscopic pulmonary emboli were found in any patient at the postmortem examination.
Databáze: OpenAIRE