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OBJECTIVE: To present three cases of tumour thrombus in the retro-aortic renal vein (RARV) arising from left renal cell carcinomas (RCCs), a very rare event (<1:1000-2000 per case) and to discuss the embryological, radiological and surgical aspects of this anomaly. PATIENTS AND METHODS: Three cases of RCC with RARV thrombus presented in a 1-month period at one institution. RESULTS: All three cases were identified before surgery by computed tomography (CT) urograms and had a successful nephrectomy. CONCLUSION: RCC in the presence of RARVs is rare but can be identified on CT urogram. At nephrectomy, a midline laparotomy or full 'rooftop incision' is recommended, and any attempt to mobilize the kidney before dealing with the renal pedicle should be avoided.

Original publication

DOI

10.1111/j.1464-410X.2009.08879.x

Type

Journal article

Journal

BJU Int

Publication Date

03/2010

Volume

105

Pages

628 - 630

Keywords

Aged, Aorta, Carcinoma, Renal Cell, Female, Humans, Kidney Neoplasms, Male, Middle Aged, Neoplastic Cells, Circulating, Nephrectomy, Renal Veins, Tomography, X-Ray Computed, Treatment Outcome, Venous Thrombosis