Jia Z, Wang BJ, Li X, Zhang X. Pheochromocytoma with delayed tumor thrombus detection in renal vein: A case report. World J Clin Cases 2020; 8(13): 2849-2854 [PMID: 32742994 DOI: 10.12998/wjcc.v8.i13.2849]
Corresponding Author of This Article
Bao-Jun Wang, MD, Chief Doctor, Department of Urology/State Key Laboratory of Kidney Diseases, Chinese PLA General Hospital/PLA Medical School, 28 Fu Xing Road, Haidian District, Beijing 100853, China. baojun40009@126.com
Research Domain of This Article
Urology & Nephrology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 6, 2020; 8(13): 2849-2854 Published online Jul 6, 2020. doi: 10.12998/wjcc.v8.i13.2849
Pheochromocytoma with delayed tumor thrombus detection in renal vein: A case report
Zhuo Jia, Bao-Jun Wang, Xing Li, Xu Zhang
Zhuo Jia, Bao-Jun Wang, Xing Li, Xu Zhang, Department of Urology/State Key Laboratory of Kidney Diseases, Chinese PLA General Hospital/PLA Medical School, Beijing 100853, China
Author contributions: Wang BJ and Zhang X contributed to the study concept and design; Jia Z and Li X contributed to the literature research and data collection; Jia Z wrote the manuscript; Wang BJ contributed to revision of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Bao-Jun Wang, MD, Chief Doctor, Department of Urology/State Key Laboratory of Kidney Diseases, Chinese PLA General Hospital/PLA Medical School, 28 Fu Xing Road, Haidian District, Beijing 100853, China. baojun40009@126.com
Received: March 15, 2020 Peer-review started: March 15, 2020 First decision: April 22, 2020 Revised: May 4, 2020 Accepted: May 29, 2020 Article in press: May 29, 2020 Published online: July 6, 2020 Processing time: 113 Days and 22.4 Hours
Abstract
BACKGROUND
Pheochromocytomas with inferior vena cava (IVC) or renal vein tumor thrombus are rare. Surgical management is the first choice.
CASE SUMMARY
We presented a 42-year-old man with adrenal pheochromocytoma and delayed tumor thrombus detection in the renal vein at the entrance of the IVC three months after adrenalectomy. We performed laparoscopic adrenalectomy during the first surgery and robot-assisted laparoscopic nephrectomy and resection of tumor thrombus during the second surgery.
CONCLUSION
We report the surgical management of a patient with adrenal pheochromocytoma with tumor thrombus at the entrance of the IVC. Robot-assisted laparoscopic surgery is safe and efficient.
Core tip: We report a rare case of adrenal pheochromocytoma on the left side with delayed detection of tumor thrombus at the entrance of the inferior vena cava and share our experience in surgical management. A similar case has not been reported previously. Nephrectomy is required when the tumor is on the left side and robot-assisted laparoscopic surgery is safe and efficient.
