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Review
. 2023 May;50(2):261-284.
doi: 10.1016/j.ucl.2023.01.007.

Surgical Management of Renal Cell Carcinoma with Inferior Vena Cava Tumor Thrombus

Shawn Dason  1 , Jahan Mohebali  2 , Michael L Blute  3 , Keyan Salari  4
Affiliations
Review

Surgical Management of Renal Cell Carcinoma with Inferior Vena Cava Tumor Thrombus

Shawn Dason et al. Urol Clin North Am. 2023 May.

Abstract

Most kidney cancers are primary renal cell carcinomas (RCC) of clear cell histology. RCC is unique in its ability to invade into contiguous veins - a phenomenon terms venous tumor thrombus. Surgical resection is indicated for most patients with RCC and an inferior vena cava (IVC) thrombus in the absence of metastatic disease. Resection also has an important role in selected patients with metastatic disease. In this review, we discuss the comprehensive management of the patient with RCC with IVC tumor thrombus, emphasizing a multidisciplinary approach to the surgical techniques and perioperative management.

Keywords: Inferior vena cava; Kidney cancer; Tumor thrombectomy.

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