The Diagnosis And Treatment Of Kidney Cancer Combined Vena Cava Tumor Thrombus And Clinical Progress

Objective: To investigate the vena cava tumor thrombus in renal cell carcinomacombined diagnosis and treatment.Methods: A retrospective analysis of January2000-December201113patientsadmitted to renal cell carcinoma with inferior vena cava tumor thrombus in patientswith clinical data, including preoperative diagnosis, treatment and prognosis. Results:13cases of renal cell carcinoma combined vena cava tumor thrombus andrevascularization in patients with CT imaging in the diagnosis in13cases, colorDoppler ultrasound in2cases. Mayo Clinic tumor thrombus Rating:0grade3cases,â…  grade2cases, â…¡ grade2cases, â…¢ grade6cases.9cases of surgical patientswere renal cell carcinoma pathology, including:1case due to multiple organ failure inthe first15days after death.2patients, respectively, after13and16months due towidespread metastatic death.2cases, respectively, after19,21months of thetransfer, to give targeted therapy after6,8months after the death. Non-surgicaltreatment of four cases: two cases were given medical supportive treatment3and6months after diagnosis of death. Two cases given targeted therapy, respectively4.5,9months after the death. Follow-up time of0.5to78months.Conclusion: CT imaging in the diagnosis and renal revascularization combinedvena cava tumor thrombus common laboratory examinations, CTA, MRI for thediagnosis of tumor thrombus rate than color Doppler ultrasound high; the absence oflymph node and distant metastasis of renal cell carcinoma vena cava surgicaltreatment of patients with tumor thrombi can get better long-term results, lymph nodemetastasis and distant metastasis were treated with targeted adjuvant therapy mayimprove the outcome and prolong survival...