[Role of multiarray scanner in the choice of therapeutic strategy in kidney cancer. Report of a case of kidney tumor with double thrombus in inferior vena cava].
Renal cancer with caval thrombus is a disease which requires precise preoperative assessment, in order to adapt the surgical technique to the stage and extent of the disease. Recent developments in CT imaging, spiral acquisition and, more recently, the multiarray technique, allow a high quality evaluation. In the light of a case of right renal tumour with bifocal caval extension, the authors discuss the valuable contribution of this imaging modality in the staging assessment and evaluation of arterial (single or multiple artery, anatomical situation in relation to the left renal vein, presence of early bifurcations, etc.), and venous structures (renal vein, genital vein, extension of the thrombus, lumbar vein and hepatic vein). Improvements in CT imaging constitute a major progress in the staging of renal cancers with caval thrombus and make a considerable contribution to the choice of treatment strategy.
Hubert
J
J
Service d'Urologie, Hôpital de Brabois, Vandoeuvre les Nancy, France. j.hubert@chu-nancy.fr
Gimel
P
P
Ludig
T
T
Schlosser
J
J
Walter
F
F
Blum
A
A
D000368:Aged; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D009360:Neoplastic Cells, Circulating; D014057:Tomography, X-Ray Computed / Q000379:methods; D014682:Vena Cava, Inferior