关键词: liver mass metastatic renal cell carcinoma renal cell carcinoma right atrial cardiac mass severe symptomatic anemia

来  源:   DOI:10.7759/cureus.64516   PDF(Pubmed)

Abstract:
We present a case of a 63-year-old male with a history significant for hypertension and a 45-pack-year smoking history who presented with severe symptomatic anemia. Rather quickly, upon imaging, he was found to have a 10 cm liver mass, a right renal mass, and a right atrial mass. A liver biopsy was performed and confirmed metastatic renal cell carcinoma (clear cell variant). Due to the extensive disease burden and patient preference, curative surgery was not pursued. This case highlights the rare but critical complications that can present as the initial presentation of renal cell carcinoma.
摘要:
我们介绍了一例63岁的男性,具有明显的高血压病史和45年的吸烟史,并伴有严重的症状性贫血。相当快,在成像时,他被发现有10厘米的肝脏肿块,右肾肿块,和右心房肿块。进行了肝活检,并证实了转移性肾细胞癌(透明细胞变体)。由于广泛的疾病负担和患者偏好,没有进行治愈性手术。此病例突出了罕见但关键的并发症,可作为肾细胞癌的最初表现。
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