Vena cava resection with renal cell carcinoma

Resection of an involved inferior vena cava along with a kidney tumor is quite feasible and can be curative. This situation is illustrated by a case which has survived for 30 months since such resection and the patient is still free of tumor. Although there is tendency to take venous involvement a sign of poor prognosis, a review of the literature has shown encouraging results with this aggressive approach. Other reasons are given for adopting the radical approach towards advanced or metastatic renal cell carcinoma.