Resection of inferior vena cava without reconstruction for intravascular intrusion of Wilms tumor

Ceccanti, Silvia; Cenk, Buyukunal; Senol, Emre; Masselli, Gabriele; Schiavetti, Amalia; Cozzi, Denis

doi:10.1016/j.urology.2020.11.004

Persistent inferior vena cava (IVC) tumor thrombus in Wilms tumor patients represents a management challenge. We describe three pediatric cases with preoperative evaluation documenting complete IVC occlusion and well-developed collaterals. They underwent nephrectomy and tumor thrombus removal accomplished with circumferential resection of the retrohepatic IVC without vascular reconstruction. All patients are asymptomatic and disease-free at 9, 2.5, and 2 years after stopping therapy. Cavectomy without reconstruction is safe and well tolerated in Wilms tumor patients with completely occlusive IVC tumor thrombus. Additionally, when performed en bloc with nephrectomy and with clear margins, cavectomy obviates the need for radiotherapy per protocol.

Resection of inferior vena cava without reconstruction for intravascular intrusion of Wilms tumor / Ceccanti, Silvia; Buyukunal, Cenk; Emre, Senol; Masselli, Gabriele; Schiavetti, Amalia; Cozzi, Denis. - In: UROLOGY. - ISSN 0090-4295. - 149(2020), pp. e29-e33.

Titolo:	Resection of inferior vena cava without reconstruction for intravascular intrusion of Wilms tumor
Autori:	CECCANTI, SILVIA Cenk Buyukunal Senol Emre MASSELLI, GABRIELE SCHIAVETTI, Amalia COZZI, Denis (Corresponding author) mostra contributor esterni nascondi contributor esterni
Data di pubblicazione:	2020
Rivista:	UROLOGY
Citazione:	Resection of inferior vena cava without reconstruction for intravascular intrusion of Wilms tumor / Ceccanti, Silvia; Buyukunal, Cenk; Emre, Senol; Masselli, Gabriele; Schiavetti, Amalia; Cozzi, Denis. - In: UROLOGY. - ISSN 0090-4295. - 149(2020), pp. e29-e33.
Handle:	http://hdl.handle.net/11573/1464739
Appartiene alla tipologia:	01i Case report

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