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Organo Oficial de la Sociedad Mexicana de Urología

2011, Number 5

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Rev Mex Urol 2011; 71 (5)

Radical nephrectomy with cavotomy and thrombectomy: technical aspects

Hernández-Castellanos VA, Morales-Montor JG, Cantellano-Orozco M, Santana-Ríos ZA, Fulda-Graue SD, Urdiales-Ortiz A, Fernández-Noyola G, Martínez JÁ, Camacho-Castro A, Pacheco-Gahbler C

Language: Spanish
References: 18
Page: 283-287
PDF size: 468.04 Kb.


ABSTRACT

Introduction: Renal tumors make up 2-3% of all diagnosed malignant diseases. Between 4-15% of these tumors have associated tumor thrombus in the renal vein or in the inferior vena cava. Tumor thrombus is associated with poor biological behavior, but not necessarily with poor prognosis. Radical surgery is the only curative treatment.
Objective: To demonstrate technical aspects of radical nephrectomy with cavotomy and thrombectomy in the treatment of renal tumor with tumor thrombus in the vena cava.
Case presentation: Patient is a seventy-six-year-old man whose present illness began four months before with terminal gross hematuria with filiform clots. Computed tomography scan showed right 7 x 7 cm renal tumor located in upper pole and hilar region with thrombus in vena cava (level II). Right radical nephrectomy with cavotomy and thrombectomy was carried out.
Conclusions: Radical surgery is the only potentially curative treatment in cases of renal tumor with thrombus. No other effective alternative therapy exists.


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