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ECR 2019 / C-3355
Renal tumor invading the inferior vena cava - almost, but not exclusively malignant
Congress: ECR 2019
Poster No.: C-3355
Type: Educational Exhibit
Keywords: Veins / Vena cava, Kidney, Abdomen, CT, MR, Catheter venography, Diagnostic procedure, Complications, Surgery, Haemorrhage, Cancer, Education and training
Authors: M.-C. Craciunoiu1, C. Caraiani2, N. Crisan1, A. Tamas-Szora1; 1Cluj-Napoca/RO, 2Cluj Napoca/RO
DOI:10.26044/ecr2019/C-3355

Conclusion

    CT and MRI are very accurate imaging techniques in evaluating the kidneys or other retroperitoneal tumors and appreciating their IVC invasion; the radiologist is required to narrow the diagnosis by differentiating these lesions (benign/ malignant, primary/ secondary) and to assess their extension, impacting directly their staging and treatment planning. 

    We must keep in mind that IVC extension is not always the result of a malignancy, no matter how “aggressive” it may look; a gross tumor showing macroscopic fat on CT or MRI should raise suspicion of an aggressive AML.

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