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Year : 1999  |  Volume : 15  |  Issue : 2  |  Page : 111-115

Management of renal cell carcinoma with inferior venacaval extension


Dept. of Urology, Bombay Hospital Institute of Medical Sciences, Mumbai, India

Correspondence Address:
B D Kashyapi
Dept. of Urology, Bombay Hospital Institute of Medical Sciences, Mumbai
India
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Source of Support: None, Conflict of Interest: None


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Up to 10 percent of Renal Cell carcinoma (RCC) involve the inferior vena cava (IVC). Surgical treatment involves radical nephrectomy with thrombectomy which is a challenging and demanding task. 12 out of our 107 patients of RCC had IVC thrombus; 7 infrahepatic and 5 retrohepatic. CT-scan and Doppler were the most useful tools to detect and define the extent of thrombus and nodal disease preoperatively. Seven underwent radical surgery of which cardiopulmonary bypass was used in only 2 cases. Three had nodal metastases and one a synchronus solitary distant metastasis. Only one patient died of disease within a year of operation and 4 patients are alive after more than 2 years of operation. We emphasize that all well-equipped departments of Urology in our country should undertake the programme of IVC thrombectomy.


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