Resection of Renal Cell Carcinoma Involving the Liver with Tumor Thrombus Extending into Inferior Vena Cava Requiring Venovenous Bypass

Author(s):  
Chetana Lim ◽  
Chady Salloum ◽  
Eylon Lahat ◽  
Michael Ossesis ◽  
Concepcion Gomez Gavara ◽  
...  
2018 ◽  
Vol 34 (5) ◽  
pp. 375-382
Author(s):  
Viyana Hamblen

Inferior vena cava (IVC) tumor thrombus in renal cell carcinoma is a rare entity that suggests heightened biologic behavior and a surgical challenge during the course of treatment. Tumor thrombus can extend from the renal vein to the right atrium. This cephalad extension is classified by four different levels. These levels determine which surgical approach is used, whether a thoracoabdominal incision is needed, and whether a patient needs to be placed in circulatory arrest. Complete surgical resection of the tumor is potentially the only curative treatment, although it supposes a challenge because of operative difficulty and the potential for massive bleeding or tumor pulmonary thromboembolism. IVC tumor thrombus presents with a few differentials that need to be assessed, including bland thrombus, primary IVC leiomyosarcoma, hepatocellular carcinoma, adrenal cortical carcinoma, primary lung carcinoma, and Wilms tumor. The importance of diagnosing IVC tumor thrombus secondary to renal cell carcinoma is demonstrated as well as a sonographic protocol for assessing IVC tumor thrombus.


2018 ◽  
Vol Volume 11 ◽  
pp. 1997-2005 ◽  
Author(s):  
Cheng Peng ◽  
Liangyou Gu ◽  
Lei Wang ◽  
Qingbo Huang ◽  
Baojun Wang ◽  
...  

2001 ◽  
Vol 66 (1) ◽  
pp. 4-8 ◽  
Author(s):  
Yoshiyuki Matsui ◽  
Keita Fujikawa ◽  
Hiroya Oka ◽  
Shigeki Fukuzawa ◽  
Hideo Takeuchi

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