PMC6437729_01
Right renal tumor with IVC thrombus.
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A 57-year-old woman with good performance status was detected to have a large right renal mass with adrenal extension and tumor thrombus extending to the right atrium (Figures 1 and 3).
Liver metastases.
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She was also noted to have enhancing liver lesions (Figure 2), suggestive of metastatic disease (cT4N1M1).
Extension of IVC thrombus to the right atrium.
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A 57-year-old woman with good performance status was detected to have a large right renal mass with adrenal extension and tumor thrombus extending to the right atrium (Figures 1 and 3).
Resolution of liver metastases following neoadjuvant therapy.
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She tolerated the new regimen very well and was completely symptom-free with this therapeutic combination (Figure 4).
Presence of IVC thrombus at the infrahepatic level after neoadjuvant therapy.
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MRI Angiogram of the abdomen showed the IVC thrombus invading the IVC lateral wall and situated below the hepatic veins (Figure 5).
Radical Nephrectomy with complete IVC thrombectomy and caval reconstruction.
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Open radical nephrectomy with IVC thrombectomy and caval reconstruction was carried out with complete tumor thrombus resection (Figure 6).
Necrotic tumor with calcifications surrounded by foamy histiocyte reaction.
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The tumor was extensively sampled and no viable carcinoma was detected (Figure 7).
Necrotic tumor in renal vein.
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IVC specimen showed a necrotic nonviable carcinoma in the lumen of renal vein as well (Figure 8).