PMC3745915_01
Axial images of computed tomography scan showing 9 cm right upper pole mass.
CRIM.UROLOGY2013-730369.001.jpg
PMC3745915_01_CRIM.UROLOGY2013-730369.001.jpg
fig1
Computed tomography (CT) scan of the chest/abdomen/pelvis revealed a 8-9 cm enhancing right upper pole renal mass with suspicion for tumor thrombus into the renal vein and IVC (Figure 1).
Coronal images of magnetic resonance imaging scan showing tumor thrombus extending into inferior vena cava.
CRIM.UROLOGY2013-730369.002.jpg
PMC3745915_01_CRIM.UROLOGY2013-730369.002.jpg
fig2
Magnetic resonance imaging (MRI) confirmed a Zincke Level II venous tumor thrombus into the inferior vena cava to approximately 3 cm below the hepatic venous confluence (Figure 2).
Gross specimen after en bloc removal and then transection by pathologist.
CRIM.UROLOGY2013-730369.003.jpg
PMC3745915_01_CRIM.UROLOGY2013-730369.003.jpg
fig3
Open right radical nephrectomy with IVC thrombectomy was performed with removal of right kidney with mass and tumor thrombus en bloc (Figure 3).