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Cited 2 time in webofscience Cited 5 time in scopus
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Malignant pulmonary embolism associated with renal sarcoma A case reportopen access

Authors
Yang, Jun HoSong, Dae HyunLee, ChunwooKang, Dong HoonJung, Jae JunKim, Sung HwanByun, Joung HunKim, Jong WooMoon, Seong Ho
Issue Date
May-2020
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Keywords
pulmonary embolectomy; pulmonary tumor embolism; radical nephrectomy; renal sarcoma
Citation
MEDICINE, v.99, no.19
Indexed
SCIE
SCOPUS
Journal Title
MEDICINE
Volume
99
Number
19
URI
https://scholarworks.bwise.kr/gnu/handle/sw.gnu/6654
DOI
10.1097/MD.0000000000019943
ISSN
0025-7974
Abstract
Rationale: The preoperative diagnosis of massive pulmonary tumor embolism associated with renal neoplasms is relatively rare. In most cases, pulmonary tumor embolism is detected intraoperatively during renal tumor resection. Moreover, primary renal sarcoma is rare, and primary renal sarcoma complicated by pulmonary tumor embolism is extremely rare; accordingly, there is no optimal treatment for such cases. Herein, we report a case of renal sarcoma associated with pulmonary tumor embolism. Patient concerns: A 39-year-old man was admitted to the emergency room owing to the sudden onset of dyspnea and palpitation. Diagnosis: Contrast-enhanced computed tomography (CT) revealed a large mass in the right kidney involving the infrahepatic inferior vena cava, with massive pulmonary emboli in both the pulmonary arteries. Interventions: Emergency pulmonary embolectomy with radical nephrectomy was performed. Outcomes: The patient experienced apparent remission of dyspnea, and resolution of right ventricle dysfunction. However, although remnant emboli were detected in the segmental arteries on postoperative CT, complete resolution of pulmonary embolism was observed after adjuvant chemotherapy. Lessons: Thus, concomitant cytoreductive nephrectomy with pulmonary embolectomy along with chemotherapy may be effective for patients with renal sarcoma with pulmonary tumor embolism.
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