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Updated: Aug 29, 2025
A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Adrenocortical carcinoma with inferior vena cava tumor thrombus found during surgery
Yuta Nabeshima1, Shimpei Yamashita1, Ryusuke Deguchi1
1Department of Urology Wakayama Medical University Wakayama Japan.
Introduction:
The safety and efficacy of minimally invasive approaches for adrenocortical carcinoma with inferior vena cava tumor thrombus have not yet been established. We report a case of large adrenocortical carcinoma with inferior vena cava tumor thrombus found perioperatively which required conversion from a laparoscopic to an open procedure.
Case Presentation:
A 71-year-old woman with right-side 10-cm diameter adrenocortical carcinoma was scheduled for laparoscopic adrenalectomy. The operation was converted to open surgery, however, because inferior vena cava tumor thrombus, which was not detected by preoperative imaging modalities, was found during surgery.
Conclusion:
In patients with large adrenocortical carcinoma, the possible presence of inferior vena cava thrombus should be considered when selecting surgical procedures.
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