Key result
This review summarizes the Mayo Clinic classification, guidelines, diagnostic tools, and surgical approaches for managing inferior vena cava tumor thrombi in patients with locally advanced RCC.
Why the study?
Intravascular tumor thrombosis in renal cell carcinoma alters staging and prognosis, indicates advanced disease, and presents surgical challenges during treatment.
This review summarizes the classification, diagnosis, and surgical management of inferior vena cava tumor thrombus in patients with renal cell carcinoma.
Intravascular tumor thrombosis is most commonly encountered in renal cell carcinoma (RCC), which alters the staging and prognosis of malignancies, indicating an advanced stage of malignancy, which can be surgically challenging during treatment course. Imaging plays a vital role in the detection of tumor thrombus and in differentiating it from bland thrombus. The Mayo Clinic thrombus classification is widely used to describe levels of inferior vena cava tumor thrombus (IVC-TT) in patients with locally advanced RCC. In this article, we review the classification, guidelines, and recent diagnostic tools for RCC with IVC tumor thrombi, and mention about the various surgical approaches for each stage of tumor thrombi.
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Periaswamy et al. (2023) conducted a review in Renal cell carcinoma with inferior vena cava tumor thrombus. This review summarizes the Mayo Clinic classification, guidelines, diagnostic tools, and surgical approaches for managing inferior vena cava tumor thrombi in patients with locally advanced RCC.
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