case_images: PMC6437729_01
case_images: Right renal tumor with IVC thrombus.
case_images: CRIU2019-7102504.001.jpg
case_images: PMC6437729_01_CRIU2019-7102504.001.jpg
case_images: fig1
case_images: A 57-year-old woman with good performance status was detected to have a large right renal mass with adrenal extension and tumor thrombus extending to the right atrium (Figures 1 and 3).
case_images: Liver metastases.
case_images: CRIU2019-7102504.002.jpg
case_images: PMC6437729_01_CRIU2019-7102504.002.jpg
case_images: fig2
case_images: She was also noted to have enhancing liver lesions (Figure 2), suggestive of metastatic disease (cT4N1M1).
case_images: Extension of IVC thrombus to the right atrium.
case_images: CRIU2019-7102504.003.jpg
case_images: PMC6437729_01_CRIU2019-7102504.003.jpg
case_images: fig3
case_images: A 57-year-old woman with good performance status was detected to have a large right renal mass with adrenal extension and tumor thrombus extending to the right atrium (Figures 1 and 3).
case_images: Resolution of liver metastases following neoadjuvant therapy.
case_images: CRIU2019-7102504.004.jpg
case_images: PMC6437729_01_CRIU2019-7102504.004.jpg
case_images: fig4
case_images: She tolerated the new regimen very well and was completely symptom-free with this therapeutic combination (Figure 4).
case_images: Presence of IVC thrombus at the infrahepatic level after neoadjuvant therapy.
case_images: CRIU2019-7102504.005.jpg
case_images: PMC6437729_01_CRIU2019-7102504.005.jpg
case_images: fig5
case_images: MRI Angiogram of the abdomen showed the IVC thrombus invading the IVC lateral wall and situated below the hepatic veins (Figure 5).
case_images: Radical Nephrectomy with complete IVC thrombectomy and caval reconstruction.
case_images: CRIU2019-7102504.006.jpg
case_images: PMC6437729_01_CRIU2019-7102504.006.jpg
case_images: fig6
case_images: Open radical nephrectomy with IVC thrombectomy and caval reconstruction was carried out with complete tumor thrombus resection (Figure 6).
case_images: Necrotic tumor with calcifications surrounded by foamy histiocyte reaction.
case_images: CRIU2019-7102504.007.jpg
case_images: PMC6437729_01_CRIU2019-7102504.007.jpg
case_images: fig7
case_images: The tumor was extensively sampled and no viable carcinoma was detected (Figure 7).
case_images: Necrotic tumor in renal vein.
case_images: CRIU2019-7102504.008.jpg
case_images: PMC6437729_01_CRIU2019-7102504.008.jpg
case_images: fig8
case_images: IVC specimen showed a necrotic nonviable carcinoma in the lumen of renal vein as well (Figure 8).