Ovarian vein invasion by renal cell carcinoma

Case contributed by Dr Chris O'Donnell

Presentation

Pre-operative staging of known renal cell carcinoma

Patient Data

Age: 60 years
Gender: Female

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 adnexa.

Case Discussion

It is not uncommon for RCC to enter the renal vein and IVC, sometimes up to the right atrium, i.e. with 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 adnexa.

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Case information

rID: 26532
Published: 27th Dec 2013
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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