Management of renal tumors involving the inferior vena cava

John A. Kern, Irving L. Kron

Research output: Contribution to journalArticlepeer-review


Renal tumors account for 6% of all adult malignancies. Not uncommonly, patients with renal tumors present with tumor thrombus extending into the inferior vena cava (IVC). Vascular surgical expertise is required for optimal treatment of patients with renal tumors and caval involvement. Because tumor thrombus extending into the IVC does not predict distant metastatic disease, these patients are curable with aggressive surgical resection. Appropriate imaging studies are required preoperatively to optimally plan an operative approach best suited for complete caval tumor removal. Several operative approaches and techniques have been described for resection of these tumors depending on the extent of the caval tumor. In the absence of metastatic disease, long-term survival is most dependent on complete tumor resection. Because chemotherapy and radiation are not curative, renal tumors extending into the cava must be completely resected whenever possible.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Issue number2
StatePublished - 1999


  • Inferior vena cava
  • Renal tumor
  • Resection

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine


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