| Autor: |
Tatiana Baitman, Irina Miroshkina, Alexander Gritskevich, Alexander Teplov, Andrey Zotikov, Alexander Kochetov, Valentina Demidova, Andrey Chupin, Yulia Stepanova, Wolfgang Schima, Grigory Karmazanovsky |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Case Reports in Oncology, Vol 13, Iss 3, Pp 1202-1208 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
1662-6575 |
| DOI: |
10.1159/000510404 |
| Popis: |
Up to 10% of patients with renal cell carcinoma (RCC) have locally advanced disease with venous tumour thrombosis involving the inferior vena cava (IVC). 30–50% of them present with synchronous metastatic disease. Surgical treatment remains the only potentially radical method for patients suffering from RCC and IVC tumour thrombosis without distant metastases. Five-year cancer-specific survival for such patients is 40–60%. The role of surgery in the treatment of RCC is significant, even if only cytoreductive operation is possible. Nephron-sparing surgery (NSS) is reasonably preferable for patients suffering from single kidney RCC, but it is not always radical enough. Extracorporeal approach allows to perform a radical dissection of the tumour in special complicated cases, but it is seldom used because of technical difficulties. We present a case of successful NSS by extracorporeal approach in our modification for RCC with IVC tumour thrombosis. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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