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Advances in Urology
Volume 2009 (2009), Article ID 365805, 3 pages
http://dx.doi.org/10.1155/2009/365805
Case Report

Surgical Approach to a Large Left Adrenocortical Mass with Associated Tumour Thrombosis of the Left Renal Vein: Preservation of the Ipsilateral Kidney

1Urology Department, MD Anderson International Spain, Hospital General Ciudad Real, 28050 Madrid, Spain
2Pathology Department, MD Anderson International Spain, 28050 Madrid, Spain

Received 17 April 2009; Accepted 14 September 2009

Academic Editor: James A. Brown

Copyright © 2009 Manuel Pérez Utrilla et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A sixty-years-old male with diagnosis of a left adrenal mass ( 1 4 6 × 9 9 × 1 2 6  mm) with associated tumour thrombosis of the left renal vein with no clear signs of thrombosis of the inferior vena cava was admitted for elective surgery Finally an adrenalectomy and excision of tumour thrombus preserving the ipsilateral kidney was made. Despite of the complex vascular management, this kind of approaches allow to preserve normal renal function in patients with future nephrotoxic treatment like cisplatin.