Bilateral renal carcinoma with unusual venous drainage
- Belyanova, N. Fileva, D. Zlatareva
Tumors of the kidney tend to present late because of their location deep in the retroperitoneal space. Bilateral renal engagement is seen in sporadic cases as well as in familial cases of kidney cancer and in the setting of von Hippel-Lindau syndrome. We present a case of synchronous bilateral kidney tumors in a patient with negative family history. The lesions were highly vascularized, did not engage or lead to thrombosis of the inferior vena cava. An abundant capsular collateral venous network was observed, draining in the testicular veins. The case illustrates the significance of preoperative CECT for patient management and for assessing the need of pre-procedure tumor embolization.
Key words: BILATERAL RENAL CARCINOMA. CLEAR CELL RENAL CARCINOMA. MULTIDETECTOR C