title: Five-year survival following excision of renal cell carcinoma extending into inferior vena cava.
abstract: Fifteen consecutive patients having radical nephrectomy and excision of tumor extension from the inferior vena cava for pathologic Stage 3A renal cell carcinoma were followed up for a minimum of five years. Survival was compared with patients having radical nephrectomy for Stage 2 or Stage 3 renal cell carcinoma in the same time interval. Five-year survival in the Stage 3A group (47%) was similar to that for patients with Stage 2 tumors (54%) and significantly better than Stage 3 patients with positive lymph nodes at surgery (12%). Renal cell carcinoma with venous extension has a reasonable prognosis after surgical excision and warrants an aggressive surgical approach.
authors.affiliation: Department of Surgery, Milton S. Hershey Medical Center, Hershey, Pennsylvania.
authors.forename: J A
authors.initials: JA
authors.lastname: Belis
authors.forename: S J
authors.initials: SJ
authors.lastname: Kandzari
mesh_terms: D002292:Carcinoma, Renal Cell / Q000401:mortality* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000401:mortality* / Q000601:surgery; D009360:Neoplastic Cells, Circulating; D009392:Nephrectomy; D015996:Survival Rate; D013997:Time Factors; D014682:Vena Cava, Inferior