Inferior venaTumorsVeinPapillary renal carcinomaPartialThrombectomyClear Cell Renal Cell CarcProximal renal tubular epitheliumLaparoscopic radical nephrectomyUnderwentMetastaticHepaticCollecting duct carcinomaTransitional cell carcLymphSpecimenWilmsNeoplasmsMetastasesPerioperativeMalignanciesMassesPatientsCystectomySymptomsPerirenalHereditaryArterialInvolvementCancerBilateralBiopsyVeinsMassIVCTProstatectomySpecimens
Inferior vena8
- In 2007, a 58-year-old white male with no history of tobacco use, hypertension, diabetes, or hypercholesterolemia, and no family history of coronary artery disease, was found to have a large solid right renal mass and associated tumor thrombus of the inferior vena cava and right atrium. (biomedcentral.com)
- For Mayo grade 1 TT, part of the inferior vena cava was blocked by a bulldog clamp after milking the TT into the left renal vein and the inferior vena cava was sutured after complete excision of the TT. (biomedcentral.com)
- It is feasible to control left renal vein and partial inferior vena cava through descending colon mesentery in a single position during LRN and tumor thrombectomy for the treatment of high-risk Mayo grade 0 and 1 TT. (biomedcentral.com)
- Studies have shown that radical nephrectomy and inferior vena cava TT removal for patients with locally advanced renal cancer can effectively improve the prognosis, and the 5-year tumor-specific survival rate is 40-65% [ 2 ]. (biomedcentral.com)
- If it is a high-risk Mayo grade 0 TT or even grade 1 TT, traditionally two steps were utilized including management of the inferior vena cava and removement of the TT, and then nephrectomy after changing the surgical position. (biomedcentral.com)
- In order to simplify the procedure, we explored the trans-mesocolon approach to fully dissect the left renal vein to the inferior vena cava in single position to treat high-risk Mayo 0-grade and grade 1 TT. (biomedcentral.com)
- BACKGROUND/AIM: Collecting duct carcinoma, epithelioid angiosarcoma and neuroendocrine/carcinoid tumor are uncommon renal malignancies, and their association with tumor thrombus extending into the inferior vena cava is extremely rare. (bvsalud.org)
- PATIENTS AND METHODS: We herein describe in detail the first cases published of the above-mentioned renal malignancies associated with extensive inferior vena cava (IVC) thrombus, in which complex vascular reconstruction was performed. (bvsalud.org)
Tumors17
- Large tumors that extend beyond the midline, have vascular extension, or both are relative contraindications, since some surgeons elect to obtain tissue via surgical excision, but this may expose patients to increased surgical risks. (medscape.com)
- In patients with bilateral Wilms tumors, solitary kidney, or kidney insufficiency, partial nephrectomy is a reasonable consideration. (medscape.com)
- Compared with a partial nephrectomy, a radical nephrectomy, which is when the entire kidney is removed, is appropriate for larger tumors that have grown beyond the kidney's boundaries or when the cancer has invaded nearby structures. (curetoday.com)
- These approaches may not be suitable for large tumors or those with complex locations that require more extensive surgical access. (curetoday.com)
- These approaches may not be recommended for large tumors or tumors in critical areas where preserving kidney function is essential. (curetoday.com)
- This is often used as a pre-surgery treatment to shrink larger tumors and reduce blood loss during surgery and is appropriate when the tumor is too large for other treatments or when surgery alone may cause excessive bleeding. (curetoday.com)
- It can also be used as a palliative treatment to alleviate symptoms caused by larger tumors, even if the cancer cannot be completely removed. (curetoday.com)
- Collecting duct carcinoma (CDC) of the kidney is a rare and aggressive subtype of renal cancer arising from the collecting duct epithelium of the kidney with an incidence of 0.4%-1.8% of all renal tumors. (e-urol-sci.com)
- This study presents the largest, single-institutional experience to date for managing these tumors and can, therefore, be added to the existing literature on this rare tumor. (e-urol-sci.com)
- Increasingly, renal cell cancers are diagnosed at an earlier stage, and nephron-sparing surgery and thermal ablation are gaining acceptance as a treatment of choice for smaller tumors. (medscape.com)
- Radical nephrectomy is the standard for larger and central tumors. (medscape.com)
- Does nephrometry scoring of renal tumors predict outcomes in patients selected for robot-assisted partial nephrectomy? (wakehealth.edu)
- Robotic and laparoscopic partial nephrectomy for T1b tumors. (wakehealth.edu)
- The classification of epithelial tumors of the kidney has in particular undergone substantial progress in the last two decades with major contributions from genetic typing of renal cell carcinomas (RCCs). (abdominalkey.com)
- The role of genotyping and ancillary tools, in particular immunohistochemistry, in correctly classifying these tumors is highlighted in the section on Renal Cell Carcinoma. (abdominalkey.com)
- More than 80% of renal tumors of childhood are Wilms tumor (nephroblastoma) ( 1 , 2 ). (abdominalkey.com)
- RCC, an adenocarcinoma, accounts for 90 to 95% of primary malignant renal tumors. (msdmanuals.com)
Vein13
- The right gonadal vein empties directly into the cava, whereas the left gonadal vein generally empties into the left renal vein. (medscape.com)
- The tumor extends into the renal vein in 40% of cases. (medscape.com)
- After the renal artery was controlled by Hem-o-lok, the left renal vein was dissected through descending colon mesentery. (biomedcentral.com)
- The left renal vein was divided by EndoGIA for high-risk Mayo grade 0 TT. (biomedcentral.com)
- Left renal vein TT is more complicated than right renal vein TT and the length of Mayo grade 0 TT determines the complexity of the surgery. (biomedcentral.com)
- If it is a low-risk Mayo grade 0 TT, the end of the TT is on the left side of the mesenteric artery, the left renal vein can be fully controlled by traditional approach. (biomedcentral.com)
- The imaging examination of case 3 showed left kidney tumor with retroperitoneal lymphadenopathy, left renal vein TT (Mayo grade 0) and multiple lung metastases. (biomedcentral.com)
- The intravascular tumor extends from the renal vein and can propagate as far as the heart. (medscape.com)
- In one case report, a patient who underwent radical nephrectomy for presumed renal cell carcinoma was subsequently found to have only renal vein thrombosis. (medscape.com)
- This complex surgical approach is appropriate when the cancer has extended into the large vein that carries blood from the lower body to the heart. (curetoday.com)
- It is often considered for patients with advanced kidney cancer who require removal of the kidney and the tumor thrombus within the vein. (curetoday.com)
- Main Renal Artery Clamping With or Without Renal Vein Clamping During Robotic Partial Nephrectomy for Clinical T1 Renal Masses: Perioperative and Long-term Functional Outcomes. (wakehealth.edu)
- RCC can trigger thrombus formation in the renal vein, which occasionally propagates into the vena cava. (msdmanuals.com)
Papillary renal carcinoma1
- Other genetically linked conditions also increase the risk of RCC, including hereditary papillary renal carcinoma, hereditary leiomyomatosis, Birt-Hogg-Dube syndrome, hyperparathyroidism-jaw tumor syndrome, familial papillary thyroid carcinoma, von Hippel-Lindau disease and sickle cell disease. (wikipedia.org)
Partial20
- Wilms tumor, treatment for which includes surgery (radical or partial nephrectomy), is the fifth most common pediatric malignancy and the most common type of renal tumor in children. (medscape.com)
- Laparoscopic partial nephrectomy without ischaemia. (urologyspecialist.com.au)
- All the cases of CDC which were diagnosed at our center following a radical or partial nephrectomy in the past 15 years were included. (e-urol-sci.com)
- A retrospective review of the hospital's electronic database was conducted to identify the cases of CDC of the kidney from among those patients who underwent either radical or partial nephrectomy between June 2005 and January 2020. (e-urol-sci.com)
- Robot-assisted partial nephrectomy: current status, techniques, and future directions. (wakehealth.edu)
- Near-infrared fluorescence imaging to facilitate super-selective arterial clamping during zero-ischaemia robotic partial nephrectomy. (wakehealth.edu)
- Does infrared imaging improve partial nephrectomy for renal cell carcinoma? (wakehealth.edu)
- Comparison of clamping technique in robotic partial nephrectomy: does unclamped partial nephrectomy improve perioperative outcomes and renal function? (wakehealth.edu)
- Does experience in creating a robot-assisted partial nephrectomy (RAPN) programme in an academic centre impact outcomes or complication rate? (wakehealth.edu)
- Indocyanine green cannot predict malignancy in partial nephrectomy: histopathologic correlation with fluorescence pattern in 100 patients. (wakehealth.edu)
- Do statin medications impact renal functional or oncologic outcomes for robot-assisted partial nephrectomy? (wakehealth.edu)
- A nonrandomized prospective comparison of robotic-assisted partial nephrectomy in the elderly to a younger cohort: an analysis of 339 patients with intermediate-term follow-up. (wakehealth.edu)
- Emerging technologies to improve techniques and outcomes of robotic partial nephrectomy: striving toward the pentafecta. (wakehealth.edu)
- Predictors of Medical and Surgical Complications After Robot-Assisted Partial Nephrectomy: An Analysis of 1139 Patients in a Multi-Institutional Kidney Cancer Database. (wakehealth.edu)
- Robot-assisted partial nephrectomy: continued refinement of outcomes beyond the initial learning curve. (wakehealth.edu)
- Selective arterial clamping does not improve outcomes in robot-assisted partial nephrectomy: a propensity-score analysis of patients without impaired renal function. (wakehealth.edu)
- Predicting Complications Following Robot-Assisted Partial Nephrectomy with the ACS NSQIP® Universal Surgical Risk Calculator. (wakehealth.edu)
- Comparison of perioperative and functional outcomes of robotic partial nephrectomy for cT1a vs cT1b renal masses. (wakehealth.edu)
- Is Off Clamp Always Beneficial During Robotic Partial Nephrectomy? (wakehealth.edu)
- Reevaluating Warm Ischemia Time as a Predictor of Renal Function Outcomes After Robotic Partial Nephrectomy. (wakehealth.edu)
Thrombectomy6
- He underwent right radical nephrectomy and tumor thrombectomy performed under extracorporeal circulation. (biomedcentral.com)
- To explore the feasibility of single-position laparoscopic radical nephrectomy (LRN) and tumor thrombectomy for left renal cell carcinoma with high-risk Mayo 0 and 1 tumor thrombus (TT). (biomedcentral.com)
- All patients with left renal cell carcinoma and venous TT (high-risk Mayo grade 0 and 1) who were performed single-position LRN and tumor thrombectomy were involved. (biomedcentral.com)
- The aim of the study was to explore the feasibility of single position transperitoneal laparoscopic radical nephrectomy (LRN) and high-risk Mayo 0 and 1 tumor thrombectomy and the surgical techniques were described in detail. (biomedcentral.com)
- Radical nephrectomy with IVC thrombectomy for level III and IV thrombus. (urologyspecialist.com.au)
- Up to date, the culprit of treatment is surgical management with radical nephrectomy, lymph node dissection, thrombectomy and vascular reconstruction if necessary. (bvsalud.org)
Clear Cell Renal Cell Carc1
- Go to Clear Cell Renal Cell Carcinoma and Sarcomatoid and Rhabdoid Renal Cell Carcinoma for complete information on these topics. (medscape.com)
Proximal renal tubular epithelium2
- The tumour arises from the cells of the proximal renal tubular epithelium. (wikipedia.org)
- The tissue of origin for renal cell carcinoma (RCC) is the proximal renal tubular epithelium. (medscape.com)
Laparoscopic radical nephrectomy2
- A single institution experience of 141 cases of laparoscopic radical nephrectomy with cost-reductive measures. (wakehealth.edu)
- Oncologic outcome of 132 cases of laparoscopic radical nephrectomy with intact specimen removal for T1-2N0M0 renal cell carcinoma. (wakehealth.edu)
Underwent2
- During December 2008, in a setting of stable disease, he underwent hepatic resection and enucleation of the left renal mass. (biomedcentral.com)
- Methods) In 380 patients with RCC who underwent radical nephrectomy 18 patients had adrenal involvement (13 ipsilateral adrenal involvement). (fujita-hu.ac.jp)
Metastatic6
- Tyrosine kinase inhibitors (TKIs) are currently approved for the treatment of metastatic renal cell carcinoma (mRCC). (biomedcentral.com)
- Purpose: To evaluate the predictors for survival in non-metastatic renal cell carcinoma (non-mRCC) associated with tumor thrombus following surgical resection. (sagepub.com)
- Introduction: Radical cystectomy is the treatment of choice for infiltrating non-metastatic bladder cancer. (sagepub.com)
- Surgical resection remains the only known effective treatment for localized renal cell carcinoma, and it is also used for palliation in metastatic disease. (medscape.com)
- Symptoms usually do not appear until late, when the tumor may already be large and metastatic. (msdmanuals.com)
- INTRODUCTION: Sunitinib is a multi-targeted receptor tyrosine kinase inhibitor used to treat metastatic renal cell carcinoma (mRCC). (bvsalud.org)
Hepatic4
- The next major veins encountered are the renal veins, followed by the hepatic veins. (medscape.com)
- A few months later, hepatic and contralateral renal metastases were detected. (biomedcentral.com)
- The hepatic and renal masses were confirmed to be metastases. (biomedcentral.com)
- Early radiological assessment after surgery showed no residual hepatic or renal disease, but possible involvement of the mesenteric lymph nodes. (biomedcentral.com)
Collecting duct carcinoma1
- Collecting duct carcinoma of the kidney (CDC) is an aggressive subtype of renal cell carcinoma with a dismal prognosis. (e-urol-sci.com)
Transitional cell carc1
- An unusual case of transitional cell carcinoma of renal pelvis presenting with brain metastases. (wakehealth.edu)
Lymph1
- upper pole tumor, clinical T3 (especially patients with tumor thrombus), lymph node metastasis and distant metastasis were candidates for risk factors of ipsilateral adrenal involvement. (fujita-hu.ac.jp)
Specimen1
- Gross nephrectomy specimen shows a Wilms tumor pushing the normal renal parenchyma to the side. (medscape.com)
Wilms8
- Wilms tumor is rare in adults, accounting for only 0.5% of renal lesions. (medscape.com)
- Wilms tumor arises from the primitive embryonal renal tissue. (medscape.com)
- Grossly, Wilms tumor is typically an intrarenal solid or cystic mass, which may displace and, in rare cases, invade the renal collecting system. (medscape.com)
- According to the NWTSG protocol, the first step in the treatment of Wilms tumor is surgical staging followed by radical nephrectomy, if possible. (medscape.com)
- Although end-stage kidney disease after unilateral radical nephrectomy is uncommon (0.25% in the NWTSG trial), preserving healthy kidney tissue may prevent this complication, especially in patients with an underlying intrinsic kidney disease (eg, WAGR [Wilms tumor, aniridia, genitourinary anomalies, and mental retardation] syndrome, Denys-Drash syndrome). (medscape.com)
- A three-year old child presents with a large renal mass suspected to be a Wilms tumor. (pedsurglibrary.com)
- Surgical resection is performed and pathologic evaluation shows completely resected Wilms tumor with focal penetration of the renal capsule. (pedsurglibrary.com)
- Children with which of the following conditions should receive screening renal ultrasounds for nephroblastoma (Wilms tumor)? (pedsurglibrary.com)
Neoplasms1
- Renal cell carcinoma (RCC) accounts for approximately 3% of adult malignancies and 90-95% of neoplasms arising from the kidney. (medscape.com)
Metastases1
- Pattern of metastases in renal cell carcinoma: a single institution study. (wakehealth.edu)
Perioperative1
- Effectiveness of perioperative chemotherapy and radical cystectomy in treating bladder cancer. (moffitt.org)
Malignancies1
- CDC's presentation is nonspecific and similar to other renal malignancies. (e-urol-sci.com)
Masses1
- See Renal Cell Carcinoma: Recognition and Follow-up , a Critical Images slideshow, to help evaluate renal masses and determine when and what type of follow-up is necessary. (medscape.com)
Patients5
- Objective) Clinicopathogical features and prognosis of patients with renal cell carcinoma (RCC) concomitant with adrenal involvement (metastasis or invasion) were evaluated in a single institute. (fujita-hu.ac.jp)
- Impact of renal function on eligibility for chemotherapy and survival in patients who have undergone radical nephro-ureterectomy. (wakehealth.edu)
- Does Sarcopenia Impact Complications and Overall Survival in Patients Undergoing Radical Nephrectomy for Stage III and IV Kidney Cancer? (wakehealth.edu)
- Comparative Analysis of Renal Functional Outcomes and Overall Survival of Elderly vs Nonelderly Patients Undergoing Radical Nephrectomy. (wakehealth.edu)
- Preliminary results of a multicenter study of prostate cancer Analysis of specialized medical care for patients with gross hematuria, renal colic. (ecuro.ru)
Cystectomy3
- Changes in quality of life over time post radical cystectomy depend on urinary diversion type. (urologyspecialist.com.au)
- Does prior pelvic radiotherapy increase the rate of benign anastomotic stricures following radical cystectomy and urinary diversion? (urologyspecialist.com.au)
- We sought to examine our institutional experience regarding radical cystectomy in the. (sagepub.com)
Symptoms1
- It is now known that this classic triad of symptoms only occurs in 10-15% of cases, and is usually indicative that the renal cell carcinoma (RCC) is in an advanced stage. (wikipedia.org)
Perirenal1
- The tumor is usually circumscribed by a pseudocapsule formed of compressed renal and perirenal tissues. (abdominalkey.com)
Hereditary1
- Renal cancer occurs in a sporadic (nonhereditary) and a hereditary form, and both forms are associated with structural alterations of the short arm of chromosome 3 (3p). (medscape.com)
Arterial1
- Purpose: To assess efficacy, complications and long-term outcome of selective arterial embolization (SAE) for treatment of symptomatic giant angiomyolipoma larger than 10 cm. (sagepub.com)
Involvement1
- Bilateral renal involvement by tumor is present at diagnosis. (pedsurglibrary.com)
Cancer7
- Renal cell carcinoma (RCC) is a kidney cancer that originates in the lining of the proximal convoluted tubule, a part of the very small tubes in the kidney that transport primary urine. (wikipedia.org)
- Dr. Spiess' research interests include novel therapies for advanced renal, bladder and penile cancer. (moffitt.org)
- This is recommended when the tumor is large, the kidney function is already compromised or there is evidence of cancer spreading outside the kidney. (curetoday.com)
- Renal cell carcinoma (see the image below) is the most common type of kidney cancer in adults. (medscape.com)
- Genetic studies of the families at high risk for developing renal cancer led to the cloning of genes whose alteration results in tumor formation. (medscape.com)
- Renal cell carcinoma (RCC) is the most common renal cancer. (msdmanuals.com)
- Comparative analysis of the results of cancer radical retropubic and robot-assisted prostatectomy. (ecuro.ru)
Bilateral1
- If imaging studies demonstrate bilateral disease, nephrectomy is not performed, but biopsy specimens are obtained. (medscape.com)
Biopsy2
- The kidney biopsy confirmed clear renal cell carcinoma with poorly differentiated and accompanied by necrosis. (biomedcentral.com)
- The pathology from kidney biopsy demonstrated clear renal cell carcinoma and the patient received 2 cycles of axitinib for neoadjuvant treatment. (biomedcentral.com)
Veins2
- The azygous system has connections with the IVC or the renal veins at the level of the renal veins. (medscape.com)
- Impact of imaging and thrombus level in management of renal cell carcinoma extending to veins. (wakehealth.edu)
Mass1
- This classic triad is 1: haematuria, which is when there is blood present in the urine, 2: flank pain, which is pain on the side of the body between the hip and ribs, and 3: an abdominal mass, similar to bloating but larger. (wikipedia.org)
IVCT3
- The clinical presentation of IVCT varies, depending on extent and location of the thrombus. (medscape.com)
- The symptomatology related to IVCT follows directly from the anatomic location of the thrombus and the degree of the lumen occupied by the thrombus. (medscape.com)
- To a large degree, the etiology of IVCT mirrors that of DVT in general. (medscape.com)
Prostatectomy1
- Purpose: The aim of this study was to clarify risk factors related to postoperative urinary incontinence after laparoscopic radical prostatectomy (LRP). (sagepub.com)
Specimens1
- Pathological examination of the surgical specimens demonstrated pT3cN0Mx conventional (clear cell) renal carcinoma, Fuhrman Grade 3 with negative surgical margins. (biomedcentral.com)