Is magnetic resonance imaging alone accurate enough in staging renal cell carcinoma?
A patient with renal cell carcinoma extending into the inferior vena cava presented to our institution. Magnetic resonance imaging demonstrated the superior extent of the thrombus to be at the level of the hepatic veins. Preoperative venacavography showed extension into the right atrium. The need for both studies in evaluating patients with Stage 3A disease is reviewed.
Straton
C S
CS
Department of Diagnostic Radiology, Lahey Clinic Medical Center, Burlington, Massachusetts.
Libertino
J A
JA
Larsen
C R
CR
D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000473:pathology* / Q000556:secondary; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D011859:Radiography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology