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KMID : 0390620160240040329
Journal of Cardiovascular Ultrasound
2016 Volume.24 No. 4 p.329 ~ p.333
Rapidly Growing Right Ventricular Outflow Tract Mass in Patient with Sarcomatoid Renal Cell Carcinoma
Hwang Jong-Min

Park Yong-Hyun
Choi Kyung-Un
Kim Jeong-Su
Hwang Ki-Won
Lee Sang-Hyun
Chon Min-Ku
Lee Soo-Yong
Lee Dae-Sung
Abstract
Cardiac metastasis from renal cell carcinoma (RCC) without inferior vena cava (IVC) involvements is extremely rare with few reported cases. Sarcomatoid RCC with rhabdoid feature is a rare pathologic type of RCC having aggressive behavior due to great metastatic potential. Here, we report a case of rapidly growing cardiac metastasis of RCC which brought on right ventricular outflow tract (RVOT) obstruction without IVC and right atrial involvement in a 61-year-old woman. Cardiac arrest occurred during radical nephrectomy and echocardiography revealed mass nearly obstructing the RVOT which was not recognized by preoperative echocardiography 1 month ago. Postoperative immunohistochemical evaluation of renal mass revealed sarcomatoid RCC with rhabdoid feature.
KEYWORD
Renal cell carcinoma , Sarcomatoid variant , Cardiac metastasis , Right ventricular outflow obstruction
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