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Kim SE, Lee SJ, Cha JY, Yi SW, Kim TS, Cho IL, Kwak JY, Oh KH. Ascending Colon Cancer with Pathologically Confirmed Tumor Thrombosis of Superior Mesenteric Vein: A Case Report. Clin Endosc 2019; 52:506-509. [PMID: 30992420 PMCID: PMC6785405 DOI: 10.5946/ce.2018.135] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Accepted: 11/12/2018] [Indexed: 01/10/2023] Open
Abstract
Colon cancer is very rarely accompanied by tumor thrombosis of the superior mesenteric vein (SMV). A 46-year-old patient had been diagnosed with SMV tumor thrombosis related to colon cancer without hepatic metastasis and underwent right hemicolectomy with SMV tumor thrombectomy. Tumor thrombosis was pathologically confirmed as metastatic colon cancer. There has been no recurrence for 12 months with 12 cycles of adjuvant-chemotherapy.
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Affiliation(s)
- Sung Eun Kim
- Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
| | - Sang Jin Lee
- Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
| | - Jun Young Cha
- Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
| | - Sang Won Yi
- Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
| | - Tae Sun Kim
- Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
| | - Il Leon Cho
- Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
| | - Jae Young Kwak
- Department of Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
| | - Kwang Hoon Oh
- Department of Internal Medicine, Suncheon Hospital, Suncheon, Korea
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Otani K, Ishihara S, Hata K, Murono K, Sasaki K, Yasuda K, Nishikawa T, Tanaka T, Kiyomatsu T, Kawai K, Nozawa H, Yamaguchi H, Watanabe T. Colorectal cancer with venous tumor thrombosis. Asian J Surg 2016; 41:197-202. [PMID: 27693064 DOI: 10.1016/j.asjsur.2016.07.013] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2016] [Revised: 07/13/2016] [Accepted: 07/18/2016] [Indexed: 12/26/2022] Open
Abstract
Colorectal cancer is seldom accompanied by venous tumor thrombosis, and little is known about the features of venous tumor thrombosis in colorectal cancer. However, some reports show that colorectal cancer patients can develop venous tumor thrombosis and warn clinicians not to overlook this complication. In this report, we perform a review of 43 previously reported cases and investigate the characteristics of colorectal cancer accompanied by venous tumor thrombosis. The histological type of more than half of the cases was moderately differentiated adenocarcinoma, which is known to be aggressive. Among 41 cases with available data on liver metastasis, eight patients had synchronous liver metastasis, and liver metastatic recurrence after surgical resection was indicated in 10 patients. This liver metastatic rate was high compared to general colorectal cancer. However, 11 of 43 patients with venous tumor thrombosis could survive for more than 2 years after the diagnosis, although five of the 11 patients had liver metastasis. A long survival can be anticipated for patients following complete tumor resection and adjuvant chemotherapy. A greater accumulation of cases will help elucidate the characteristics of colorectal cancer with venous tumor thrombosis and improve the treatment strategy.
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Affiliation(s)
- Kensuke Otani
- Department of Surgical Oncology, University of Tokyo, Tokyo, Japan.
| | | | - Keisuke Hata
- Department of Surgical Oncology, University of Tokyo, Tokyo, Japan
| | - Koji Murono
- Department of Surgical Oncology, University of Tokyo, Tokyo, Japan
| | - Kazuhito Sasaki
- Department of Surgical Oncology, University of Tokyo, Tokyo, Japan
| | - Koji Yasuda
- Department of Surgical Oncology, University of Tokyo, Tokyo, Japan
| | | | - Toshiaki Tanaka
- Department of Surgical Oncology, University of Tokyo, Tokyo, Japan
| | | | - Kazushige Kawai
- Department of Surgical Oncology, University of Tokyo, Tokyo, Japan
| | - Hiroaki Nozawa
- Department of Surgical Oncology, University of Tokyo, Tokyo, Japan
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Sonavane SN, Malhotra G, Asopa R, Upadhye T. Role of fluorine-18 fluorodeoxyglucose positron emission tomography in a case of renal cell carcinoma to differentiate tumor thrombus from bland thrombus. Indian J Nucl Med 2015; 30:355-7. [PMID: 26430326 PMCID: PMC4579627 DOI: 10.4103/0972-3919.164016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Tumor thrombus is a rare complication of many solid tumors. We present a case of renal cell carcinoma whose baseline contrast-enhanced computerized tomography (CT) revealed an heterogeneously enhancing mass in the upper half of right kidney with tumor thrombus in the right renal vein extending to suprarenal inferior vena cava (IVC), crossing the cavoatrial junction and reaching up to the right atrium (Grade IV). Fluorine-18 fluorodeoxyglucose (18F-FDG) positron emission tomography (PET)/CT imaging revealed large irregular right renal mass, hypermetabolic tumor thrombus extending from the right renal vein to suprarenal IVC reaching up to the right atrium. There was no FDG uptake noted in the infrarenal IVC and bilateral iliofemoral venous thrombi. Thus, 18F-FDG PET/CT was not only helpful in the staging, but was also helpful in differentiating tumor thrombus from bland thrombus in our patient.
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Affiliation(s)
- Sunita Nitin Sonavane
- Department of Nuclear Medicine and PET/CT, Radiation Medicine Center, Parel, Mumbai, Maharashtra, India
| | - Gaurav Malhotra
- Department of Nuclear Medicine and PET/CT, Radiation Medicine Center, Parel, Mumbai, Maharashtra, India
| | - Ramesh Asopa
- Department of Nuclear Medicine, Radiation Medicine Center, Parel, Mumbai, Maharashtra, India
| | - Trupti Upadhye
- Department of Nuclear Medicine, Radiation Medicine Center, Parel, Mumbai, Maharashtra, India
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Elterman DS, Lawrentschuk N, Guns E, Hersey K, Adomat H, Wood CA, Fleshner N. Investigating Contamination of Phytotherapy Products for Benign Prostatic Hyperplasia With α-Blockers and 5α-Reductase Inhibitors. J Urol 2010; 183:2085-9. [DOI: 10.1016/j.juro.2009.12.097] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2009] [Indexed: 11/25/2022]
Affiliation(s)
- Dean Sol Elterman
- Princess Margaret Hospital, Toronto, Ontario, and Prostate Centre at Vancouver General Hospital (EG, HA, CAW), Vancouver, British Columbia, Canada
| | - Nathan Lawrentschuk
- Princess Margaret Hospital, Toronto, Ontario, and Prostate Centre at Vancouver General Hospital (EG, HA, CAW), Vancouver, British Columbia, Canada
| | - Emma Guns
- Princess Margaret Hospital, Toronto, Ontario, and Prostate Centre at Vancouver General Hospital (EG, HA, CAW), Vancouver, British Columbia, Canada
| | - Karen Hersey
- Princess Margaret Hospital, Toronto, Ontario, and Prostate Centre at Vancouver General Hospital (EG, HA, CAW), Vancouver, British Columbia, Canada
| | - Hans Adomat
- Princess Margaret Hospital, Toronto, Ontario, and Prostate Centre at Vancouver General Hospital (EG, HA, CAW), Vancouver, British Columbia, Canada
| | - Catherine A. Wood
- Princess Margaret Hospital, Toronto, Ontario, and Prostate Centre at Vancouver General Hospital (EG, HA, CAW), Vancouver, British Columbia, Canada
| | - Neil Fleshner
- Princess Margaret Hospital, Toronto, Ontario, and Prostate Centre at Vancouver General Hospital (EG, HA, CAW), Vancouver, British Columbia, Canada
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Demonstration of metastatic tumour growth following vessel structures by PET/CT. Eur J Nucl Med Mol Imaging 2009; 36:1021. [PMID: 19296105 DOI: 10.1007/s00259-009-1108-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2009] [Accepted: 02/24/2009] [Indexed: 10/21/2022]
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Metastatic Follicular Carcinoma of the Thyroid With Tumor Thrombus in the Superior Vena Cava and Right Brachiocephalic and Internal Jugular Veins. Clin Nucl Med 2008; 33:426-8. [DOI: 10.1097/rlu.0b013e318170d508] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Nouh MAAM, Inui M, Kakehi Y. Renal Cell Carcinoma with IVC Thrombi; Current Concepts and Future Perspectives. Clin Med Oncol 2008; 2:247-56. [PMID: 21892286 PMCID: PMC3161638 DOI: 10.4137/cmo.s464] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
The incidence of venous extension to the inferior vena cava (IVC) in renal cell carcinoma (RCC) is markedly increased recently mostly due to the advances in diagnostic modalities. Such vascular invasion implies a heightened biologic behavior and a surgical challenge during the course of treatment. In this study, we reviewed the classification guidelines, recent diagnostic tools and up-to-date therapeutic modalities for RCC with IVC tumor thrombi added to the prognostic significance regarding the pathologic nature of vascular invasion; cephalad extent of thrombi and any associated distant metastasis. Also, we are providing our suggestion regarding the use of angioscopy for removal of IVC thrombi in a relatively bloodless field without aggressive surgical manipulations or shunt techniques for maintenance of hemodynamic stability.
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Shih G, Shih WJ, Mitchell B, Milan PP. Photon-deficient Mass on FDG-PET Scan in Renal Cell Carcinoma: A Case Report. Clin Med Case Rep 2008; 2:1-4. [PMID: 24179364 PMCID: PMC3785371 DOI: 10.4137/ccrep.s724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
F-18 Fluorodeoxyglucose Positron Emission Tomography imaging (F-18 FDG PET) detects malignancies depending on the uptake profile of glycolysis of tumors; however, the role of FDG PET is limited in the evaluation of primary renal malignancy because of low FDG uptake by renal cell carcinoma and also because normal urinary excretion of FDG seen in the images. A patient with renal cell carcinoma whose FDG PET imaging study incidentally shows a photon-deficient mass in the upper pole of the right kidney is present here. The diagnosis is also validated by the histopathological findings of tumor necrosis, hemorrhage, and scars.
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Affiliation(s)
- George Shih
- Department of Radiology, Weill Medical College, Cornell University New York, NY, and Nuclear Medicine Service, Pathology Service and Radiology Service, Lexington VA Medical Center, and Department of Diagnostic Radiology and Department of Pathology, College of Medicine, University of Kentucky, Lexington, Kentucky, U.S.A
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Kaida H, Ishibashi M, Kurata S, Uchida M, Hayabuchi N. Tumor thrombus in the inferior vena cava from colon cancer detected by 18F-FDG-PET. Ann Nucl Med 2007; 21:185-8. [PMID: 17561590 DOI: 10.1007/s12149-007-0003-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
We present a case of inferior vena cava (IVC) tumor thrombus detected by fluorine- 18 fluorodeoxyglucose positron emission tomography (18F-FDG-PET). A man underwent operations for the treatment of sigmoid colon cancer at the age of 63. Because tumor markers [carcinoembryonic antigen (CEA) and CA19-9] were increased at the age of 67, abdominal contrast-enhanced computed tomography (CT) was performed. CT revealed IVC dilatation, including a low-attenuation area. 18F-FDG-PET was performed to make the differential diagnosis between tumor thrombus and clot. 18F-FDG-PET showed that 18F-FDG had accumulated in the IVC region. We considered the IVC tumor thrombus because of the 18F-FDG uptake in the IVC region and the patient's clinical course. To our knowledge, there are a few reports concerning 18F-FDG-PET and IVC tumor thrombus. 18F-FDG-PET may be useful in diagnosing tumor thrombus.
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Affiliation(s)
- Hayato Kaida
- Division of Nuclear Medicine, PET Center, Department of Radiology, Kurume University School of Medicine, 67 Asahi-Machi, Kurume City, Fukuoka 830-0011, Japan.
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Strobel K, Steinert HC, Bhure U, Koma AY, Gassmann N, Stöckli SJ. Tumour thrombus in the superior vena cava from anaplastic carcinoma of the thyroid: FDG-PET/CT imaging findings. Eur J Nucl Med Mol Imaging 2007; 34:813. [PMID: 17225114 DOI: 10.1007/s00259-006-0349-2] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2006] [Accepted: 11/28/2006] [Indexed: 10/23/2022]
Affiliation(s)
- K Strobel
- Division of Nuclear Medicine, Department of Medical Radiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
| | - H C Steinert
- Division of Nuclear Medicine, Department of Medical Radiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland
| | - U Bhure
- Division of Nuclear Medicine, Department of Medical Radiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland
| | - A Y Koma
- Division of Nuclear Medicine, Department of Medical Radiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland
| | - N Gassmann
- Clinic of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland
| | - S J Stöckli
- Clinic of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland
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Abstract
The routine use of integrated positron emission tomography computed tomography in the staging and follow-up of patients diagnosed with non-small-cell lung cancer has improved diagnostic accuracy but many incidental extrathoracic findings are routinely encountered. These include physiologic fluorodeoxy glucose avid foci, normal computed tomography variants, and second primary malignancies, all of which have to be differentiated from extrathoracic metastatic disease. Knowledge of these findings is important for correct staging and identification of second primaries.
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Affiliation(s)
- Edith M Marom
- Department of Radiology, Division of Diagnostic Imaging, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA.
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Affiliation(s)
- Venkataprasanth P Reddy
- Department of Internal Medicine, Kansas University Medical Center, Kansas City, KS 66160, USA
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