Abstract
A 75-year-old woman was referred to our department for evaluation of a left renal tumor. Computed tomography and other imaging studies demonstrated a left renal mass and tumor extension into the left renal vein passing caudally behind the aorta. We clinically diagnosed the tumor as renal cell carcinoma (RCC) associated with a retroaortic left renal vein thrombus, and performed a radical nephrectomy. Pathological examination of the surgical specimen showed a grade 2, clear cell carcinoma with a renal vein thrombus and negative surgical margin. Retroaortic left renal vein is a rare anomaly with a prevalence of 1.8–2.4%. RCC associated with a retroaortic left renal vein thrombus is rarer still. To our knowledge, this is only the third case report to describe an RCC associated with a tumor thrombus in the retroaortic left renal vein.
Similar content being viewed by others
References
Zisman A, Pantuck AJ, Chao DH, Wieder JA, Dorney F, Said JW, et al. Renal cell carcinoma with tumor thrombus: is cytoreductive nephrectomy for advanced disease associated with an increased complication rate? J Urol. 2002;168:962–7.
Golimbu M, Joshi P, Sperber A, Tessler A, Al-Askari S, Morales P. Renal cell carcinoma: survival and prognostic factors. Urology. 1986;27:291–301.
Beckmann CF, Abrams HL. Renal venography: anatomy, technique, application, analysis of 132 venograms, and a review of the literature. Cardiovasc Intervent Radiol. 1980;3:45–70.
Reed MD, Friedman AC, Nealey P. Anomalies of the left renal vein: analysis of 433 CT scans. J Comput Assist Tomogr. 1982;6:1124–6.
Pinsk R, Nemcek AA Jr, Fitzgerald SW. Tumor thrombus in a retroaortic left renal vein and incidental right circumcaval ureter. Urol Radiol. 1992;13:166–9.
Kellman GM, Alpern MB, Sandler MA, Craig BM. Computed tomography of vena caval anomalies with embryologic correlation. RadioGraphics. 1988;8:533–56.
Horan JJ, Robertson CN, Choyke PL, Frank JA, Miller DL, Pass HI, et al. The detection of renal carcinoma extension into the renal vein and inferior vena cava: a prospective comparison of venacavography and magnetic resonance imaging. J Urol. 1989;142:943–7.
McAllister JD, Ross GJ, Samaha AM Jr. Retroaortic renal vein with tumor thrombus: MR findings. Urol Radiol. 1992;13:170–2.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Otsuki, H., Kuroda, K., Kosaka, T. et al. A case report of retroaortic left renal vein with tumor thrombus of renal cell carcinoma. Clin Exp Nephrol 15, 438–441 (2011). https://doi.org/10.1007/s10157-011-0410-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10157-011-0410-8