Ovarian vein invasion by renal cell carcinoma
Pre-operative staging of known renal cell carcinoma
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Typical large left renal carcinoma extending into and expanding the left renal vein to enter the IVC. Note further extension and expansion into the left ovarian vein down to the left adnexum.
It is not uncommon for RCC to enter the renal vein and IVC, sometimes up to the right atrium, i.e. in the direction of blood flow. Occasionally it can cross over to the contralateral renal vein. Rarely it may enter other veins including in this case the left ovarian vein from the left renal vein with growth down (i.e. retrograde to flow) to the left adnexum.
- Ghersin E, Leiderman M, Meretik S et-al. Renal cell carcinoma invading the right ovarian vein: multidetector computed tomography and ultrasound Doppler findings. J Comput Assist Tomogr. 2005;29 (4): 472-4. Pubmed citation
- Carvalho P. Sonographic demonstration of renal tumour extension into the contralateral renal vein. Br J Radiol. 1990;62 (744): 1093-5. Pubmed citation