Abstract
Renal cell carcinoma (RCC) extends into the inferior vena cava (IVC) as a thrombus of tumor in 3 to 10% of patients with this disease. The presence of tumor thrombus associated with RCC has not been shown to be a determinant of survival. For this reason, an aggressive approach to resection has been advocated for several decades. So we report a surgical case of renal cell carcinoma with a tumor thrombus extending into IVC. A 63-year-old man complaining of low-grade fever was pointed out right renal tumor with a tumor thrombus extending into the IVC by enhanced computed tomographic-scanning in this hospital. Though he also had lung and bone metastasis, he wished to undergo an operation. Right nephrectomy and removal of an intra-IVC tumor thrombus were performed without a cardiopulmonary bypass. To prevent pulmonary thromboembolism, a temporary inferior vena cava filter was placed before laparotomy. The postoperative course was uneventful and the patient was discharged from the hospital 9 days postoperatively. The pathological diagnosis was renal clear cell cartinoma. In our experience, it is important to determine an adequate surgical procedure for a RCC with IVC tumor thrombus under considerable preoperative assessment.
