Presentation
Right renal mass.
Patient Data
Age: 70 years
Gender: Male
From the case:
Renal cell carcinoma with IVC thrombus
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9 cm multicystic right renal mass.
Tumor thrombus within the right renal vein and the infradiaphragmatic IVC.
Normal appearance of the left kidney.
Several enlarged necrotic lymph nodes at the right renal hilum measuring up to 2.4 cm.
Right adrenal metastasis.
No suspicious bony lesion.
Right lower lobe lung metastasis.
Case Discussion
Large volume IVC thrombosis in a case of cystic renal cell carcinoma.
The involvement of the infradiaphragmatic IVC gives a local stage of T3b to this tumor. If the thrombus extended into the suprahepatic IVC it would be T3c.
The overall stage is T3b, N1, M1 (lung and adrenal).