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Renal cell carcinoma is the most common solid neoplasm of kidney. It accounts for around 90% of all primary renal neoplasm. It arises in the proximal convoluted tubule of renal cortex. The exact cause is unknown but there are several risk factors. Mostly patients are asymptomatic, diagnosed incidentally on imaging, but some patients may present with hematuria , weight loss and palpable flank mass. Diagnosis of this disease require imaging techniques such as abdominal USG and CT scan. Treatment and prognosis of RCC depends on its pathological staging. Important factors are size of tumor and its extension to either Gerota's fascia and IVC. Treatment for this disease consist of partial or total nephrectomy and systemic therapy. This is a case of 64 year old male who diagnosed with Renal call carcinoma extending into IVC below diaphragm and managed with Radical nephrectomy with IVC exploration.
Goyal et al. (Wed,) studied this question.
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