[Surgical treatment of renal cell carcinoma with tumor thrombus in inferior vena cava]

Hinyokika Kiyo. 1991 Jan;37(1):59-63.
[Article in Japanese]

Abstract

Removal of renal cell carcinoma (RCC) extended into the inferior vena cava (IVC) can be a difficult operation. Between 1941 and 1989, 110 RCC patients were treated with radical operation and examined for tumor thrombus histopathologically. Twenty nine (26.3%) patients had invasion into the returning vein of tumor (Stage Vla), 12 (10.9%) in renal vein (stage Vlb) and the remaining 4 (3.6%) into IVC (stage V2). In one patient who had surgery under extracorporeal circulation, a thrombus was extended into the right atrium. In the remaining three patients, the RCC was confined to a small portion of the IVC and operated by caval sleeve resection. Radical operation in such patients free of any distant metastasis, may raise the survival rate.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Carcinoma, Renal Cell / complications
  • Carcinoma, Renal Cell / pathology
  • Carcinoma, Renal Cell / surgery*
  • Humans
  • Kidney Neoplasms / complications
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / surgery*
  • Male
  • Middle Aged
  • Neoplasm Invasiveness
  • Thrombosis / etiology
  • Thrombosis / surgery*
  • Vena Cava, Inferior*