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作 者:Sohil Pothiawala Savan deSilva Kunzang Norbu
机构地区:[1]Department of Emergency Medicine,Singapore 768024,Singapore [2]Department of Emergency Medicine,Sengkang General Hospital,Singapore 544886,Singapore
出 处:《World Journal of Critical Care Medicine》2022年第3期192-197,共6页世界重症医学杂志
摘 要:BACKGROUND Renal cell carcinoma(RCC)is an aggressive tumor,with an incidental discovery in most patients.Classic presentation is rare,and it has a high frequency of local and distant metastasis at the time of detection.CASE SUMMARY We present a rare case of a 58-year-old man with a ball-shaped thrombus in the right atrium at the time of first incidental identification of RCC in the emergency department.Cardiac metastasis,especially thrombus in the right atrium,is rare.It could either be a bland thrombus or a tumor thrombus,and physicians should consider this potentially fatal complication of RCC early at the time of initial presentation.CONCLUSION Ball-shaped lesions in the right atrium are rare,and bland thrombus should be differentiated from tumor thrombus secondary to intracardiac metastasis.
关 键 词:Renal cell carcinoma METASTASIS Tumor thrombus Bland thrombus Right atrium Case report
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