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Case Report
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| An incidental mass in the inferior vena cava discovered on echocardiogram | ||||||
| Timothy R Larsen1, Kate Essad2, Sachin Kumar Amruthlal Jain3, Mark Lebeis4, Shukri David5 | ||||||
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1Internal Medicine Resident, Department of Internal Medicine, Providence Hospital and Medical Center, Southfield, Michigan, USA.
2Medical Student, Department of Internal Medicine, Providence Hospital and Medical Center, Southfield, Michigan, USA. 3Cardiology Fellow, Department of Internal Medicine, Section of Cardiology, Providence Hospital and Medical Center, Southfield, Michigan, USA. 4Cardiologist, Department of Internal Medicine, Section of Cardiology, Providence Hospital and Medical Center, Southfield, Michigan, USA. 5Chief, Section of Cardiology, Department of internal medicine, Providence Hospital and Medical Center, Southfield, Michigan, USA. | ||||||
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| How to cite this article: |
| Larsen TR, Essad K, Jain SKA, Lebeis M, David S. An incidental mass in the inferior vena cava discovered on echocardiogram. International Journal of Case Reports and Images 2012;3(12):58–61. |
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Abstract
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Introduction:
The differential diagnosis of an inferior vena cava (IVC) mass in an asymptomatic patient is broad and includes both thrombus and neoplastic etiologies. Once identified, new IVC masses should be further evaluated for possible malignancy. Up to 10% patients with renal cell carcinoma have direct extension of the tumor into the IVC, with 1% extending to the level of the right atrium
Case Report: A 73-year-old woman was referred for an elective two-dimensional echocardiogram after her cardiologist noted a new murmur. The patient was asymptomatic at that time. The echocardiogram revealed a mass in the IVC, two centimeters from the right atrium. Further work up revealed a large renal cell carcinoma. Conclusion: All imaging results should be carefully reviewed for incidental evidence of previously undiagnosed disease. Malignant renal cell carcinoma is often first identified as an incidental mass on abdominal CT scan or ultrasound scan, It is exceedingly rare for a malignant renal cell carcinoma to initially present as an incidental mass on echocardiogram. | |
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Keywords:
Inferior vena cava (IVC), Incidental IVC mass, Renal cell carcinoma, IVC tumor extension
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Author Contributions
Timothy R Larsen – Substantial contributions to Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Kate M Essad – Substantial contributions to Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Sachin Kumar Amruthal Jain – Substantial contributions to Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Mark Lebeis – Substantial contributions to Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Shukri David – Substantial contributions to Conception and design, Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Timothy R Larsen et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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