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Indian Journal of Surgical Oncology
Published in: Indian Journal of Surgical Oncology 1/2019

01-03-2019 | Case Report

Small Renal Mass with Level 4 IVC Thrombus

Authors: Abhishek Laddha, Priyank Bijalwan, Appu Thomas, Ginil Kumar P.

Published in: Indian Journal of Surgical Oncology | Issue 1/2019

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Excerpt

Involvement of the inferior vena cave (IVC) tumour thrombus is associated with advance stage of renal cell carcinoma (RCC) as well as other malignant neoplasms such as retroperitoneal tumours, gynaecologic tumours and hepatocellular carcinoma [1‐4]. RCC has a biological predisposition for vascular invasion resulting in vascular thrombus extending to IVC in 4 to 25% of patients [5]. We report an unusual case of small renal mass with level 4 thrombus extending up to the right atrium (Fig. 1). …
Literature
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Huguet C, Ferri M, Gavelli A (1995) Resection of the suprarenal inferior vena cava: the role of prosthetic replacement. Arch Surg 130:793–797CrossRefPubMed
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Kumada K, Shimahara Y, Fukui K, Itoh K, Morikawa K, Ozawa K (1988) Extended right hepatic lobectomy: combined resection of inferior vena cava and its reconstruction by ePTFE graft. Acta Chir Scand 154:481–483PubMed
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Risher WH, Arensman M, Ochsner JL, Hollier LH (1990) Retrohepatic vena cava reconstruction with polytetrafluoroethylene graft. J Vasc Surg 12:367–370CrossRefPubMed
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O’Donohoe MK, Flanagan F, Fitzpatrick JM, Smith JM (1987) Surgical approach to inferior vena caval extension of renal carcinoma. Br J Urol 60:492–496CrossRefPubMed
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Chawla SN, Cripen PL, Hanlon AL et al (2006) The natural history of observed enhancing renal masses: meta-analysis and review of the world literature. J Urol 175(2):425–431CrossRefPubMed
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Smaldone MC, Kutikov A, Egleston BL, Canter DJ, Viterbo R, Chen DYT, Jewett MA, Greenberg RE, Uzzo RG (2012) Small renal masses progressing to metastases under active surveillance :a systematic review and pooled analysis. Cancer 118(4):997–1006CrossRefPubMed
Metadata
Title
Small Renal Mass with Level 4 IVC Thrombus
Authors
Abhishek Laddha
Priyank Bijalwan
Appu Thomas
Ginil Kumar P.
Publication date
01-03-2019
Publisher
Springer India
Published in
Indian Journal of Surgical Oncology / Issue 1/2019
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI
https://doi.org/10.1007/s13193-018-0835-6

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