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Right atrial extension of adrenocortical carcinoma. Surgical management using hypothermia and cardiopulmonary bypass
Author(s) -
Cheung Polly S. Y.,
Thompson Norman W.
Publication year - 1989
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19890815)64:4<812::aid-cncr2820640408>3.0.co;2-4
Subject(s) - medicine , adrenocortical carcinoma , cardiopulmonary bypass , contraindication , mitotane , hypothermia , inferior vena cava , magnetic resonance imaging , carcinoma , surgery , right atrium , cardiology , anesthesia , radiology , pathology , alternative medicine
A patient with right adrenocortical carcinoma extending into the inferior vena cava and right atrium is presented. Tumor extension was demonstrated by magnetic resonance imaging (MRI) preoperatively. Successful resection of the adrenal tumor and its intravascular extension was achieved with the help of cardiopulmonary bypass and hypothermia. The patient was maintained on mitotane (o,p′‐DDD), and was well for 12 months after surgery. It was concluded that intravascular extension of adrenocortical carcinoma is not a contraindication to radical surgery.