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Chirurgia 2004 April;17(2):47-50

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: Italian

Neoplastic involvement of the inferior vena cava due to renal cell carcinoma.

Salciccia P., Cirocchi R., Salciccia S.


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Aim. Personal experience in the surgical treatment of renal cell carcinoma with thrombotic invasion of the inferior vena cava is presented.
Methods. Five cases out of 37 nephrectomies performed for renal cell carcinoma are reported. Color Doppler ultrasonography and computerized tomography showed a good reliability in the diagnosis and evaluation of the caval invasion. Radical nephrectomy was always carried out associated to longitudinal caval incision and subsequent removal of the neoplastic thrombus. Partial resection of the inferior vena cava was never performed.
Results. Long-term prognosis was good only in those patients who did not show distal metastases at the time of surgical intervention.
Conclusion. There was a better survival in patients submitted to nephrectomy associated with caval thrombectomy than in patients who underwent nephrectomy alone.

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