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Adrenal cancer may involve the inferior vena cava by direct infiltration or with a tumoral thrombus inside the lumen. In the context of a multidisciplinary therapeutic effort, a correct surgical procedure is critical to achieve a chance of long-term survival. This chapter will discuss different important technical details which help to prevent tumor spillage and thrombus dislodgment, while allowing vascular control without hemodynamic derangement.

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Adrenocortical Carcinoma with Vena Cava Involvement

  • 章节

  • 出版模式：

    开放获取

  • 发表日期：

    2025年

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  • Nazario Portolani,
  • Franco Nodari,
  • Guido A. M. Tiberio,
  • Stefano Bonardelli

摘要

Adrenal cancer may involve the inferior vena cava by direct infiltration or with a tumoral thrombus inside the lumen. In the context of a multidisciplinary therapeutic effort, a correct surgical procedure is critical to achieve a chance of long-term survival. This chapter will discuss different important technical details which help to prevent tumor spillage and thrombus dislodgment, while allowing vascular control without hemodynamic derangement.