Kidney Tumor Extending Into Vena Cava. Renal cell carcinoma is a common urologic tumor comprising 1 to 3 of all visceral cancers and 85 to 90 of all malignant kidney tumors. Is a rare malignancy with a poor prognosis and the association with tumor thrombus into the inferior vena cava ivc is not common.
Surgical approach and review of literature. According to this system tumor thrombus in the renal vein only is classified as level 0 thrombus extending into the ivc 2 cm from the renal vein ostium is level i ivc extension 2 cm from the renal vein ostium and below the hepatic veins is level ii thrombus at the hepatic veins and below the diaphragm is level iii and supradiaphragmatic. There were 27 men and six women with an.
A 63 year old woman presented with hematuria.
According to this system tumor thrombus in the renal vein only is classified as level 0 thrombus extending into the ivc 2 cm from the renal vein ostium is level i ivc extension 2 cm from the renal vein ostium and below the hepatic veins is level ii thrombus at the hepatic veins and below the diaphragm is level iii and supradiaphragmatic. When kidney cancer hits the vena cava. The outcome of patients who underwent radical resection of renal cell carcinoma extending into the vena cava was retrospectively analyzed and risk factors for long term survival were investigated. This type of surgery is very rare and is best approached at centers of excellence.