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Treatment of Abdominal Malignancy Invading the Vena Cava: A Report of Seven Cases
Authors:Shunya Shindo  Shinya Motohashi  Masatake Katsu  Shigeaki Kaga  Hidenori Inoue  Masahiko Matsumoto  Koji Kono  Hideki Fujii  Masayuki Takeda
Affiliation:(1) Second Department of Surgery, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo City Yamanashi, 409-3898, Japan;(2) First Department of Surgery, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo City Yamanashi, 409-3898, Japan;(3) Department of Urology, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo City Yamanashi, 409-3898, Japan
Abstract:Retroperitoneal tumors and other abdominal malignancies invading the inferior vena cava can be treated surgically when no metastases are present. We resected four retroperitoneal tumors, two renal cell carcinomas, and one gastrointestinal stromal tumor with a concomitant caval resection. Although meticulous care is required when manipulating the major vessels, long-term survival with an improvement in the quality of life was achieved. These cases are described, with particular focus on the management of the major vessels.
Keywords:Retroperitoneal tumor  Renal cell carcinoma  Gastrointestinal stromal tumor  Tumor thrombus  Inferior vena cava
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