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Small renal mass with large lymph nodal metastasis and inferior vena cava thrombus: an exceptional amalgamation.

Abstract
A small renal mass is defined as a tumour <4cm. The standard treatment of choice for small renal masses is partial or radical nephrectomy, depending on the tumour anatomy, and has good overall and cancer-specific survival. Its association with lymph node metastasis and inferior vena cava (IVC) thrombus is very uncommon. We describe a case of a right small renal mass with a large metastatic paracaval lymph node with IVC level I thrombus who was treated with right radical nephrectomy with thrombus removal and lymph node excision.
AuthorsS Akif, K Parmar, S Kumar, R M Mavuduru, A Bal
JournalAnnals of the Royal College of Surgeons of England (Ann R Coll Surg Engl) Vol. 104 Issue 6 Pg. e183-e186 (Jun 2022) ISSN: 1478-7083 [Electronic] England
PMID35175141 (Publication Type: Case Reports, Journal Article)
Topics
  • Carcinoma, Renal Cell (pathology, surgery)
  • Humans
  • Kidney Neoplasms (pathology)
  • Lymphatic Metastasis (pathology)
  • Nephrectomy
  • Thrombectomy
  • Thrombosis (pathology)
  • Vena Cava, Inferior (diagnostic imaging, pathology)
  • Venous Thrombosis (complications, surgery)

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