title: [Grawitz tumor with invasion of the inferior vena cava and right atrium: surgical management with a multidisciplinary team].
abstract: In this paper, the clinical condition of a 56 year old male patient is reported, with the diagnosis of renal cell carcinoma, complicated by a tumoral thrombus, extended from the renal vein into the vena cava and right atrium, who underwent surgical treatment. The operation consisted in the radical nephrectomy associated to the vena caval thrombectomy, under extracorporeal circulation, utilizing a multidisciplinary team composed by urologists, vascular and cardio-thoracic surgeons. The main features related to the diagnosis and surgical management of this case are described and discussed, according to data taken from the most recent publications of the literature on the subject.
authors.affiliation: Clinicas Universitárias de Cirurgia Vascular,Urologia e Serviço de Cirurgia Cardio-Torácica do Hospital de Santa Maria, Lisboa.
authors.forename: A Dinis
authors.initials: AD
authors.lastname: da Gama
authors.forename: José Maria
authors.initials: JM
authors.lastname: Alves
authors.forename: Virgilio
authors.initials: V
authors.lastname: Vaz
authors.forename: Pedro
authors.initials: P
authors.lastname: Barros
authors.forename: J L Carneiro
authors.initials: JL
authors.lastname: de Moura
authors.forename: Mário
authors.initials: M
authors.lastname: Mendes
authors.forename: João
authors.initials: J
authors.lastname: Cravino
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D006325:Heart Atria; D006338:Heart Neoplasms / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009360:Neoplastic Cells, Circulating; D010348:Patient Care Team; D019043:Vascular Neoplasms / Q000556:secondary* / Q000601:surgery*; D014682:Vena Cava, Inferior