Inferior vena cavectomy for nonexcisable Wilms' tumor thrombus.
Wilms' tumor with tumor extension into the vena cava is a not uncommon variant of tumor presentation. Typically, this extension is nonadherent to the endothelium and readily lends itself to removal either before or after chemotherapy. This case illustrates an unusual variant in which the tumor within the cava was tightly adherent to the venous wall and required the complete excision of the vena cava, left renal vein, and a portion of the iliac system.
Section of Pediatric Surgery, The Department of Surgery, The University of Michigan Medical School and C.S. Mott Children's Hospital, Ann Arbor, MI, USA.
E J
EJ
Renaud
D
D
Liu
S W
SW
Pipe
M A
MA
Rubin
D H
DH
Teitelbaum
D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000473:pathology / Q000628:therapy; D012082:Renal Veins / Q000601:surgery; D017131:Thrombectomy / Q000379:methods*; D014682:Vena Cava, Inferior / Q000601:surgery*; D020246:Venous Thrombosis / Q000209:etiology / Q000601:surgery*; D009396:Wilms Tumor / Q000150:complications* / Q000473:pathology / Q000628:therapy