2012
DOI: 10.4111/kju.2012.53.4.285
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Surgical Treatment of Inferior Vena Cava Invasion in Patients with Renal Pelvis Transitional Cell Carcinoma by Use of Human Cadaveric Aorta

Abstract: We herein report a case of radical nephroureterectomy and replacement of the inferior vena cava (IVC) with ahuman cadaveric aortic graft for a patient with renal pelvis transitional cell carcinoma associated with IVC infiltration. In advanced disease, radical surgery is essential to achieve long-term survival. This case entails the use of another treatment option among the numerous options currently available for the management of patients with advanced renal cancer associated with IVC invasion.

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Cited by 5 publications
(5 citation statements)
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“…Cases of upper tract urothelial carcinoma with extension to the vena cava are rare. A case of a renal pelvic carcinoma of the transitional histotype with vena caval invasion was reported previously with a focus on the challenges of IVC resection and replacement with a human cadaveric graft [ 3 ]. Upper tract urothelial carcinoma, including tumors of the ureter and renal pelvis, is an uncommon genitourinary malignancy that accounts for 5% of urothelial cancers and less than 10% of renal tumors.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Cases of upper tract urothelial carcinoma with extension to the vena cava are rare. A case of a renal pelvic carcinoma of the transitional histotype with vena caval invasion was reported previously with a focus on the challenges of IVC resection and replacement with a human cadaveric graft [ 3 ]. Upper tract urothelial carcinoma, including tumors of the ureter and renal pelvis, is an uncommon genitourinary malignancy that accounts for 5% of urothelial cancers and less than 10% of renal tumors.…”
Section: Discussionmentioning
confidence: 99%
“…Upper tract urothelial carcinoma, including tumors of the ureter and renal pelvis, is an uncommon genitourinary malignancy that accounts for 5% of urothelial cancers and less than 10% of renal tumors. Owing to the infrequent presentation of this carcinoma, trends in disease incidence, associated demographic factors, and predictors of cancer-related and overall survival outcomes are limited [ 3 ]. Urothelial carcinomas of the renal pelvis also more often appear to be of a higher stage than their urinary bladder counterparts [ 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…It may be difficult to differentiate PSCC of the ureter from transitional cell carcinoma (TCC) that account for 5% to 7% of all urinary tract tumors ( 13 ). But there are also some differentiations between PSCC and TCC of the ureter on urography and CT.…”
Section: Discussionmentioning
confidence: 99%
“…Imaging characteristics include a filling defect of the renal collecting system at CT urography, lack of renal contour distortion, and a filling defect in the IVC and/or renal vein. Aggressive surgical intervention is required, including nephroureterectomy (39,41). Invasion of the IVC wall is more common in transitional cell carcinoma than in renal cell carcinoma and may precipitate a need for segmental IVC resection.…”
Section: Transitional Cell Carcinomamentioning
confidence: 99%