肾细胞癌伴下腔静脉瘤栓的外科治疗。
Surgical Management of Renal Cell Carcinoma with Inferior Vena Cava Tumor Thrombus.
机构信息
Department of Urology, Ohio State University, 915 Olentangy River Road, Ste 3100, Columbus, OH 43212, USA.
Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA.
出版信息
Urol Clin North Am. 2023 May;50(2):261-284. doi: 10.1016/j.ucl.2023.01.007.
Most kidney cancers are primary renal cell carcinomas (RCC) of clear cell histology. RCC is unique in its ability to invade into contiguous veins - a phenomenon terms venous tumor thrombus. Surgical resection is indicated for most patients with RCC and an inferior vena cava (IVC) thrombus in the absence of metastatic disease. Resection also has an important role in selected patients with metastatic disease. In this review, we discuss the comprehensive management of the patient with RCC with IVC tumor thrombus, emphasizing a multidisciplinary approach to the surgical techniques and perioperative management.
大多数肾癌是透明细胞组织学的原发性肾细胞癌 (RCC)。RCC 独特之处在于其能够侵入相邻的静脉 - 这种现象被称为静脉肿瘤血栓。在没有转移疾病的情况下，大多数 RCC 患者和下腔静脉 (IVC) 血栓患者都需要进行手术切除。切除在选择的转移性疾病患者中也具有重要作用。在这篇综述中，我们讨论了伴有 IVC 肿瘤血栓的 RCC 患者的综合管理，强调了手术技术和围手术期管理的多学科方法。
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