title: Management of primary nonrenal parenchymal malignancies with vena caval thrombus.
abstract: We report our experience with the management of 7 primary nonrenal parenchymal malignancies with vena caval tumor thrombus. Included are 3 cases of adrenal cortical carcinoma and 1 each of transitional cell carcinoma, embryonal cell testicular carcinoma, pheochromocytoma and primary small cell carcinoma of the lung with metastases to the kidney. Surgical treatment and followup are presented, as well as a review of the literature. An aggressive surgical approach is warranted because prolonged survivals free of disease are possible.
authors.affiliation: Department of Urology, Vanderbilt University School of Medicine, Nashville, Tennessee.
authors.forename: R S
authors.initials: RS
authors.lastname: Concepcion
authors.forename: M O
authors.initials: MO
authors.lastname: Koch
authors.forename: W S
authors.initials: WS
authors.lastname: McDougal
authors.forename: J R
authors.initials: JR
authors.lastname: Stewart
authors.forename: W H
authors.initials: WH
authors.lastname: Merrill
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000473:pathology / Q000601:surgery*; D000328:Adult; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000556:secondary* / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D013736:Testicular Neoplasms / Q000473:pathology; D014682:Vena Cava, Inferior