Ziya Kirkali, Hein Van Poppel European Urology

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A Critical Analysis of Surgery for Kidney Cancer with Vena Cava Invasion Ziya Kirkali, Hein Van Poppel European Urology Volume 52, Issue 3, Pages 658-662 (September 2007) DOI: 10.1016/j.eururo.2007.05.009 Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 1 The Mayo classification of macroscopic venous invasion in renal cell carcinoma [8]. Level I: Tumor thrombus is either at the entry of the renal vein or within the inferior vena cava (IVC)<2cm from the confluence of the renal vein and the IVC. Level II: Thrombus extends within the IVC>2cm above the confluence of the renal vein and IVC but still remains below the hepatic veins. Level III: Thrombus involves the intrahepatic IVC. The size of the thrombus ranges from a narrow tail that extends into the IVC to one that fills the lumen and enlarges the IVC. Level IV: Thrombus extends above the diaphragm or into the right atrium. European Urology 2007 52, 658-662DOI: (10.1016/j.eururo.2007.05.009) Copyright © 2007 European Association of Urology Terms and Conditions