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Level-IV-Cavathrombus

Eine seltene Diagnose bei Patienten mit Nierenzellkarzinom

Level IV inferior vena cava tumor thrombus

A rare diagnosis in patients with renal cell carcinoma

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Zusammenfassung

Das Nierenzellkarzinom mit supradiaphragmalem Cavathrombus ist eine seltene Tumorentität. Die Operation mittels Nephrektomie und Thrombektomie gilt als Therapiestandard. Präoperativ ist mittels Magnetresonanztomographie und transösophagealer Echokardiographie das Ausmaß des Thrombus zu evaluieren. Die Operationsplanung und -durchführung sollte in interdisziplinärer Zusammenarbeit erfolgen. Trotz der Operationsrisiken erreicht man ein längeres tumorspezifisches Überleben.

Abstract

Renal cell carcinoma in combination with a supradiaphragmatic tumor thrombus is a rare tumor entity. Radical surgery including nephrectomy and thrombectomy is still considered standard treatment. The extent of the tumor thrombus should be preoperatively evaluated by MRI and TEE. An interdisciplinary team is important for surgery planning and realization. Despite the known risks of an operation, a longer overall survival is achieved.

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Correspondence to L. Hofer.

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L. Hofer, C. Gasch, G. Hatiboglu, J. Motsch, C. Grüllich, S. Duensing und M. Hohenfellner geben an, dass kein Interessenkonflikt besteht.

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Hofer, L., Gasch, C., Hatiboglu, G. et al. Level-IV-Cavathrombus. Urologe 56, 868–875 (2017). https://doi.org/10.1007/s00120-017-0369-5

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