Renal cell carcinoma

Case contributed by Dr Laughlin Dawes

This patient has a renal cell carcinoma (RCC) of the left kidney invading the renal vein. 

Case Discussion

RCC has a strong propensity to venous tumour invasion which is seen up to 20% of cases, with extension into the IVC in 4 to 15% of cases. Renal vein invasion classifies RCC as TNM stage T3 and Robson stage 3A. Tumour thrombus is distinguished from bland thrombus by contrast enhancement on CT and MRI and colour flow on ultrasound. Other tumours with a strong tendency to venous invasion are hepatocellular carcinoma and adrenal carcinoma.

Credit: Dr Donna D'Souza.

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Case information

rID: 35937
Published: 8th May 2015
Last edited: 6th Nov 2015
System: Urogenital
Inclusion in quiz mode: Included

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