Abstract:BackgroundRenal cell carcinoma is a potentially lethal cancer with aggressive behavior and it tends to metastasize. Renal cell carcinoma involves the inferior vena cava in approximately 15 % of cases and it rarely extends into the right atrium. A majority of renal cell carcinoma are detected as incidental findings on imaging studies obtained for unrelated reasons. At presentation, nearly 25 % of patients either have distant metastases or significant local-regional disease with no symptoms that can be attribute… Show more
“…Renal cell carcinoma typically present with a triad of hematuria, flank pain, and flank mass, especially in cases of advanced disease [ 2 ]. In reality however, this classic triad is relatively uncommon, occurring in only 10% of the cases [ 3 ].…”
Section: Discussionmentioning
confidence: 99%
“…Our patient presented with symptoms of heart failure, and the diagnosis of RCC was only considered after the imaging studies. Other than primary or metastatic tumors, thrombus and tricuspid valve vegetations, rare causes of a right atrial mass include anatomic variants, coronary fistula, paced wires and indwelling catheters [ 2 ]. Renal cell carcinoma has a fascinating feature of invading local vasculature in to the renal vein and grows as a solid column of cells that can sometimes extend up to, as in our patient, the right atrium via inferior vena cava [ 2 ].…”
Section: Discussionmentioning
confidence: 99%
“…Other than primary or metastatic tumors, thrombus and tricuspid valve vegetations, rare causes of a right atrial mass include anatomic variants, coronary fistula, paced wires and indwelling catheters [ 2 ]. Renal cell carcinoma has a fascinating feature of invading local vasculature in to the renal vein and grows as a solid column of cells that can sometimes extend up to, as in our patient, the right atrium via inferior vena cava [ 2 ]. The commonest histological type of RCC is clear cell variety (70-80%), followed by the papillary type (10%) [ 1 ].…”
Section: Discussionmentioning
confidence: 99%
“…Renal cell carcinoma (RCC) is an aggressive and lethal tumor that constitutes approximately 3% of all adult malignancies [ 1 ]. Typical presentations of RCC include hematuria, flank pain and flank mass in advanced stage [ 2 ]. RCC has high frequency of metastatic spread to rare sites with atypical presentations.…”
Section: Introductionmentioning
confidence: 99%
“…RCC has high frequency of metastatic spread to rare sites with atypical presentations. Most cases of RCC are discovered as incidental findings on imaging studies for other reasons, and the tumor is aggressive enough that 25% of patients have either distant metastases or local-regional disease with atypical symptoms not related to RCC [ 2 ]. Intravascular tumor growth into the renal vein and inferior vena cava reported to be seen in about 15% of patients with extension into right atrium in approximately 1% of cases [ 2 ].…”
Renal cell carcinoma (RCC) is an aggressive and lethal tumor that has a high frequency of metastatic spread to unpredictable sites. One quarter of patients have either distant metastases or significant local-regional disease with atypical symptoms on presentation. We present a 41-year-old patient with symptoms of right heart failure and was found to have metastatic renal cell carcinoma with enhancing tumor from left renal vein up to right atrium.
“…Renal cell carcinoma typically present with a triad of hematuria, flank pain, and flank mass, especially in cases of advanced disease [ 2 ]. In reality however, this classic triad is relatively uncommon, occurring in only 10% of the cases [ 3 ].…”
Section: Discussionmentioning
confidence: 99%
“…Our patient presented with symptoms of heart failure, and the diagnosis of RCC was only considered after the imaging studies. Other than primary or metastatic tumors, thrombus and tricuspid valve vegetations, rare causes of a right atrial mass include anatomic variants, coronary fistula, paced wires and indwelling catheters [ 2 ]. Renal cell carcinoma has a fascinating feature of invading local vasculature in to the renal vein and grows as a solid column of cells that can sometimes extend up to, as in our patient, the right atrium via inferior vena cava [ 2 ].…”
Section: Discussionmentioning
confidence: 99%
“…Other than primary or metastatic tumors, thrombus and tricuspid valve vegetations, rare causes of a right atrial mass include anatomic variants, coronary fistula, paced wires and indwelling catheters [ 2 ]. Renal cell carcinoma has a fascinating feature of invading local vasculature in to the renal vein and grows as a solid column of cells that can sometimes extend up to, as in our patient, the right atrium via inferior vena cava [ 2 ]. The commonest histological type of RCC is clear cell variety (70-80%), followed by the papillary type (10%) [ 1 ].…”
Section: Discussionmentioning
confidence: 99%
“…Renal cell carcinoma (RCC) is an aggressive and lethal tumor that constitutes approximately 3% of all adult malignancies [ 1 ]. Typical presentations of RCC include hematuria, flank pain and flank mass in advanced stage [ 2 ]. RCC has high frequency of metastatic spread to rare sites with atypical presentations.…”
Section: Introductionmentioning
confidence: 99%
“…RCC has high frequency of metastatic spread to rare sites with atypical presentations. Most cases of RCC are discovered as incidental findings on imaging studies for other reasons, and the tumor is aggressive enough that 25% of patients have either distant metastases or local-regional disease with atypical symptoms not related to RCC [ 2 ]. Intravascular tumor growth into the renal vein and inferior vena cava reported to be seen in about 15% of patients with extension into right atrium in approximately 1% of cases [ 2 ].…”
Renal cell carcinoma (RCC) is an aggressive and lethal tumor that has a high frequency of metastatic spread to unpredictable sites. One quarter of patients have either distant metastases or significant local-regional disease with atypical symptoms on presentation. We present a 41-year-old patient with symptoms of right heart failure and was found to have metastatic renal cell carcinoma with enhancing tumor from left renal vein up to right atrium.
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