Adrenocortical Carcinoma with Inferior Vena Cava Thrombus extending up to Right Atrium: Evaluation and Management

Abstract

ABSTRACT Malignancy of the adrenal cortex is uncommon but aggressive and grows rapidly and metastasizes to the liver, lungs, kidneys, and bones. Very rarely, tumor thrombus may extend through via adrenal vein to the inferior vena cava (IVC) and even may extend up to the right atrium. Such a scenario is rare and possesses a real surgical challenge. We present a case of right adrenocortical tumor with IVC thrombus extending until the right atrium. The patient successfully underwent right adrenalectomy with nephrectomy and retroperitoneal lymphadenectomy and removal of its intravascular extension with the assistance of cardiopulmonary bypass and intraoperative transesophageal echocardiography. How to cite this article Kumar SS, Mayilvaganan S, Majumdar G, Agarwal SK, Tewari P, Agarwal A. Adrenocortical Carcinoma with Inferior Vena Cava Thrombus extending up to Right Atrium: Evaluation and Management. World J Endoc Surg 2017;9(3):118-119.