Controversies in the diagnosis of renal cell carcinoma with tumor thrombus.

Controversies in the diagnosis of renal cell carcinoma with tumor thrombus. Actas Urol Esp. 2020 Oct 30;: Authors: Caño Velasco J, Polanco Pujol L, Hernandez Cavieres J, González García FJ, Herranz Amo F, Ciancio G, Hernández Fernández C Abstract Diagnosis and treatment of renal cell carcinoma with venous tumor thrombosis remains a challenge today, requiring multidisciplinary teams, mainly in tumor thrombus levels III-IV. Our objective is to present the various diagnostic techniques used and its controversies. A review of the most relevant related articles between January 2000 and August 2020 has been carried out in PubMed, EMBASE and Scielo. Continuous technological development has allowed progress in its detection, in the approximation of the histological subtype, and in the determination of tumor thrombus level. Regardless of the imaging technique used for its diagnosis (CT, MRI, TEE, ultrasound with contrast), the time elapsed until treatment is vitally important to reduce the risk of complications, some of them fatal, such as pulmonary thromboembolism. PMID: 33139067 [PubMed - as supplied by publisher]
Source: Actas Urologicas Espanolas - Category: Urology & Nephrology Authors: Tags: Actas Urol Esp Source Type: research