The article aims to sum up experience in the treatment of renal cell carcinoma complicated with tumor thrombus in renal vein and inferior vena cava. It is typically seen in patients suffering from nephrotic syndrome, but may also be diagnosed in individuals with renal malignancies, and hypercoagulable states. Solitamente e unica per ciascun rene, ma non e infrequente trovare piu di una vena per ciascun organo. There are numerous etiologies for bland thrombus, but it most commonly occurs in the hypercoagulable nephrotic syndrome. Half of the patients who had documented followup in previous reports. Patients with a renal vein or vena cava thrombus originating from tcc of the renal pelvis have a poor prog nosis 17, 24. Management of inferior vena cava tumor thrombus in locally. If severe and untreated, renal infarction may occur. In a patient with lupus, the appearance of sudden unexplained flank pain should raise suspicion for renal vessel thrombosis, of which renal vein thrombosis is more common than arterial. Surgery may be necessary for renal vein thrombosis caused by renal cell cancer. However, clinicians should be aware of it because of its high. References to any names, marks, products, or services of third parties or hypertext links to third. The outcome of patients who underwent radical resection of renal cell carcinoma extending into the vena cava was retrospectively analyzed, and risk factors for longterm survival were investigated. Apr 20, 2011 inferior vena caval filters may be used in bilateral renal vein thrombosis.
Laparoscopy has become a practical and acceptable alternative for the treatment of urologic diseases that are surgically complex. Management of renal cell carcinoma with tumor thrombus in. Presents with symptoms of renal infarction, including flank pain, hematuria microscopic or gross, low grade fevers elevation in ldh renal enlargement bilateral disease, solitary kidney, or transplant may present with acute renal failure increase in proteinuria from increased pressure. Any information contained in this pdf file is automatically generated from digital material submitted to epos by third parties in the form of scientific presentations. If there is both a vein passing in front of and one behind the aorta this is called a circumaortic renal vein. Este fenomeno suele producirse mas frecuentemente en. Renal cell carcinoma with extension of tumor thrombus into. Presentamos una variacion anatomica consistente en tres venas renales unilaterales. Complications specific to the underlying cause, eg graft failure after renal transplantation. Surgical resection in the form of radical nephrectomy and caval.
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