Renal cell carcinoma (RCC) constitutes about 3% of all malignant neoplasms in adults. Clear cell carcinoma is the most frequent type, accounting for about 65% of cases. It tends to invade the veins and form tumour thrombi in inferior vena cava (IVC-TT), occasionally reaching the right atrium. Nephrectomy and thrombectomy are standard therapeutic procedures performed in RCC-IVC-TT. Despite proven effectiveness of surgery, this entity in IVC-TT is associated with poor outcome. The role of palliative radiotherapy in this entity is undetermined. We present a case of a 43-year-old female patient after right-sided nephrectomy due to advanced RCC which invaded the IVC, hepatic veins, and right atrium. The patient has been treated with postoperative, hypofractionated radiotherapy on the residual disease.
Keyphrases
- inferior vena cava
- renal cell carcinoma
- radiation therapy
- pulmonary embolism
- early stage
- vena cava
- locally advanced
- radiation induced
- case report
- robot assisted
- randomized controlled trial
- minimally invasive
- systematic review
- patients undergoing
- palliative care
- rectal cancer
- squamous cell carcinoma
- coronary artery bypass
- small cell lung cancer
- brain metastases
- coronary artery disease
- newly diagnosed