Contrast-enhanced multi-slice computed tomography (MSCT) is commonly used in the diagnosis of complex malignant tumours. This technology provides comprehensive and accurate information about tumour size and shape in relation to solid tumours and the affected adjacent organs and tissues. This case report demonstrates the benefit of using MSCT 3D imaging for preoperative planning in a patient with late-stage (T4) sarcomatoid renal cell carcinoma, a rare renal malignant tumour. The surgical margin on the liver was negative, and no metastases to veins, lungs or other organs were detected by abdominal and chest contrast-enhanced CT. Although sarcomatoid histology is considered to be a poor prognostic factor, the patient is alive and well 17 months after surgery. The MSCT imaging modality enables 3D rendering of an area of interest, which assists surgical decision-making in cases of advanced renal tumours. In this case, as a result of MSCT 3D reconstruction, the patient received justified surgical treatment without compromising oncological principles.
KawataN., HirakataH., YugeH., KodamaM., SugimotoS., YagasakiH.et al., Cytoreductive surgery with liver-involved renal cell carcinoma, International Journal of Urology7(10) (2000), 382–385.
2.
KimJ.K., KimT.K., AhnH.J., KimC.S., KimK.R., ChoK.S., Differentiation of subtypes of renal cell carcinoma on helical CT scans, American Journal of Roentgenology178(6) (2002), 1499–1506.
3.
QuaiaE., BussaniR., CovaM., MucelliR.P., Radiologic-pathologic correlations of intratumoral tissue components in the most common solid and cystic renal tumors. Pictorial review, European Radiology15(8) (2005), 1734–1744.
4.
ZhangD., ZengG., ZhangY., LiuX., WuS., HuaY.et al., 3D reconstruction computed tomography scan in diagnosis of bilateral wilm’s tumor with its embolus in right atrium, Journal of X-ray Science and Technology24(5) (2016), 657–660.
5.
ReznekR.H., CT/MRI in staging renal cell carcinoma, Cancer Imaging: The Official Publication of the International Cancer Imaging Society4(Spec No A) (2004), S25–32.
6.
LinguraruM.G., YaoJ., GautamR., PetersonJ., LiZ., LinehanW.M.et al., Renal Tumor Quantification and Classification in Contrast-Enhanced Abdominal CT, Pattern Recognition42(6) (2009), 1149–1161.
7.
NgC.S., WoodC.G., SilvermanP.M., TannirN.M., TamboliP., SandlerC.M., Renal cell carcinoma: Diagnosis, staging, and surveillance, American Journal of Roentgenology191(4) (2008), 1220–1232.
8.
SilvermanS.G., LeyendeckerJ.R., AmisE.S.Jr,
, What is the current role of CT urography and MR urography in the evaluation of the urinary tract?Radiology250(2) (2009), 309–323.
9.
PengN., WangX., ZhangZ., FuS., FanJ., ZhangY., Diagnosis value of multi-slice spiral CT in renal trauma, Journal of X-ray Science and Technology24(5) (2016), 649–655.
10.
CollD.M., HertsB.R., DavrosW.J., UzzoR.G., NovickA.C., Preoperative use of 3D volume rendering to demonstrate renal tumors and renal anatomy, Radiographics: A review Publication of the Radiological Society of North America, Inc20(2) (2000), 431–438.
11.
SofiaC., MagnoC., SilipigniS., CantisaniV., MucciardiG., SottileF.et al., Value of three-dimensional volume rendering images in the assessment of the centrality index for preoperative planning in patients with renal masses, Clinical Radiology72(1) (2017), 33–40.
12.
SunZ., LiuD., A systematic review of clinical value of three-dimensional printing in renal disease, Quantitative Imaging in Medicine and Surgery8(3) (2018), 311–325.
13.
TeberD., GuvenS., SimpfendorferT., BaumhauerM., GuvenE.O., YencilekF.et al., Augmented reality: A new tool to improve surgical accuracy during laparoscopic partial nephrectomy? Preliminary in vitro and in vivo results, European Urology56(2) (2009), 332–338.
14.
LiY., SunJ., ZhangY., LiW., HuB. and
SongJ. , 3D reconstruction images of cone beam computed tomography in dental medicine application: A case study and mini-review, Journal of X-ray Science and Technology24(5) (2016), 673–680.
15.
ChenL., ZengX., LiS., GongC., PengE., WuB.et al., Evaluation of a large adrenal carcinoma with 3D reconstruction of computed tomography images: A case report and literature review, Journal of X-ray Science and Technology24(5) (2016), 665–671.
16.
YuY., LiJ., GuoL., GuT., XiaoR., YeY.et al., Bilateral duplex urinary collecting systems accompanied with horseshoe kidneys deformity and right renal ureteral calculi and hydronephrosis: Diagnosis in magnetic resonance urography, Journal of X-ray Science and Technology25(4) (2017), 667–672.
17.
ZhangC., LiX., MoC., PengZ., YangR., TangY.et al., Benign mixed epithelial and stromal tumor of the kidney with inferior vena cava tumor thrombus: A rare case report and review of literature, Journal of X-ray Science and Technology25(5) (2017), 831–837.
ShuchB., BratslavskyG., LinehanW.M., SrinivasanR., Sarcomatoid renal cell carcinoma: A comprehensive review of the biology and current treatment strategies, The Oncologist17(1) (2012), 46–54.
WongJ.A., WhelanT., MorseM., Radical nephrectomy with en bloc resection of liver, diaphragm, and lung for locally invasive sarcomatoid renal cell carcinoma, Urology68(4) (2006), ,890.e1–4.
23.
BennettB.C., SelbyR., BahnsonR.R., Surgical resection for management of renal cancer with hepatic involvement, The Journal of Urology154(3) (1995), 972–974.
24.
JohninK., NakaiO., KataokaA., KoizumiS., Dok AnC.OkadaY.et al., Surgical management of renal cell carcinoma invading into the liver: Radical nephrectomy en bloc with right hepatic lateral sector, Urology57(5) (2001), 975.
25.
JoyceD.D., PsutkaS.P., GroeschlR.T., ThompsonR.H., BoorjianS.A., ChevilleJ.C.et al., Complications and Outcomes Associated With Surgical Management of Renal Cell Carcinoma Involving the Liver: A Matched Cohort Study, Urology99 (2017), 155–161.
26.
YoshimatsuM., ShirabeK., NagaoY., HaradaN., UchiyamaH., YoshizumiT.et al., A safe combined nephrectomy and right lobectomy using the liver hanging maneuver for huge renal cell carcinoma directly invading the right lobe of the liver: Report of a case, Surgery Today44(9) (2014), 1778–1782.
