title: Inferior vena cava involvement by a left side adrenocortical carcinoma: operative and prognostic considerations.
abstract: We report the fifth case of neoplastic involvement of the infrahepatic portion of the inferior vena cava, observed in a young woman affected by a left adrenal cortical carcinoma. The intracaval extension of a neoplastic thrombus from an adrenal tumor is a rare complication that should not be considered a dismal prognostic factor and does not contraindicate tumor resection with curative intent. Caval invasion must be preoperatively investigated to plan the correct surgical access and avoid the risk of neoplastic embolization.
authors.affiliation: 1st Department of Surgery, La Sapienza University, Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Mingoli
authors.forename: F
authors.initials: F
authors.lastname: Nardacchione
authors.forename: G
authors.initials: G
authors.lastname: Sgarzini
authors.forename: M
authors.initials: M
authors.lastname: Marzano
authors.forename: F
authors.initials: F
authors.lastname: Ciccarone
authors.forename: C
authors.initials: C
authors.lastname: Modini
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000473:pathology*; D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D012082:Renal Veins; D019043:Vascular Neoplasms / Q000556:secondary*; D014682:Vena Cava, Inferior