PDF(Pubmed)
Abstract：
Ewing\'s sarcoma of the kidney is a rare tumor. Although renal carcinomas are known to involve the inferior cava, extension of the tumor up to the right atrium is not common. In the majority of cases when the tumor extends into the infrahepatic part of the inferior vena cava, it can be removed from the abdominal approach. Few patients require the use of cardiopulmonary bypass for removal of the tumor in the inferior vena cava and right atrium. The management of patients requiring resection of kidney tumors and right atrial mass is more complicated and requires a team approach consisting of oncosurgeons, cardiac surgeons, and cardiac anesthetists. The resection of the kidney tumor with a mass in the right atrium is usually done concomitantly. The cardiopulmonary bypass cannulation strategy needs to be modified in such cases.
摘要：
尤因氏肾肉瘤是一种罕见的肿瘤。尽管已知肾癌累及下静脉，肿瘤延伸至右心房并不常见。在大多数情况下，当肿瘤延伸到下腔静脉的肝下部分时，它可以从腹部方法中取出。很少有患者需要使用体外循环来切除下腔静脉和右心房中的肿瘤。需要切除肾肿瘤和右心房肿块的患者的管理更为复杂，需要由肿瘤外科医生组成的团队方法，心脏外科医生,还有心脏麻醉师.切除右心房肿块的肾肿瘤通常同时进行。在这种情况下，需要修改体外循环插管策略。
