CT findings of intrarenal yolk sac tumor with tumor thrombus extending into the inferior vena cava: a case report

Korean J Radiol. 2014 Sep-Oct;15(5):641-5. doi: 10.3348/kjr.2014.15.5.641. Epub 2014 Sep 12.

Abstract

Yolk sac tumor (YST) is a rare germ cell neoplasm of childhood that usually arises from the testis or ovary. The rare cases of YST in various extragonadal locations have been reported, but the primary intrarenal YST is even more uncommon. Here, we report a case of a primary intrarenal YST with tumor thrombus of the inferior vena cava and left renal vein in a 2-year-old boy, with an emphasis on the CT features. To our knowledge, this is the first reported case of an intrarenal YST with intravascular involvement.

Keywords: Computed tomography; Inferior vena cava; Kidney; Renal vein; Tumor thrombus; Yolk sac tumor.

MeSH terms

  • Child, Preschool
  • Humans
  • Male
  • Neoplasms, Germ Cell and Embryonal / diagnosis*
  • Neoplasms, Germ Cell and Embryonal / diagnostic imaging
  • Neoplasms, Germ Cell and Embryonal / pathology
  • Renal Veins / diagnostic imaging*
  • Renal Veins / pathology
  • Thrombosis / diagnostic imaging
  • Thrombosis / pathology
  • Tomography, X-Ray Computed*
  • Ultrasonography
  • Vena Cava, Inferior / diagnostic imaging*
  • Vena Cava, Inferior / pathology