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Volume 53, Issue 4, Pages (April 2008)

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Presentation on theme: "Volume 53, Issue 4, Pages (April 2008)"— Presentation transcript:

1 Volume 53, Issue 4, Pages 845-848 (April 2008)
Neoadjuvant Sutent Induction Therapy May Effectively Down-Stage Renal Cell Carcinoma Atrial Thrombi  Pierre I. Karakiewicz, Nazareno Suardi, Claudio Jeldres, Pascale Audet, Pierre Ghosn, Jean-Jacques Patard, Paul Perrotte  European Urology  Volume 53, Issue 4, Pages (April 2008) DOI: /j.eururo Copyright © 2007 European Association of Urology Terms and Conditions

2 Fig. 1 Pretreatment computed tomography scan demonstrates the left-sided primary tumor with a necrotic center and a massive renal vein and inferior vena cava thrombus with cephalad extension into the right atrium. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

3 Fig. 2 Cardiac echography demonstrating the protruding tumor thrombus within the right atrium. The broken axes demonstrate the dimension of the intra-atrial aspect of the thrombus, which measured 1×2cm. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

4 Fig. 3 A magnetic resonance image demonstrates the residual thrombus after two cycles of sunitinib. The thrombus consists of a solid component (dark filling defect at the ostium of the renal vein) and of a thin stalk that emanates from the proximal part of the renal vein. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions

5 Fig. 4 Surgical specimen of the primary radical nephrectomy specimen and of the tumor thrombus. European Urology  , DOI: ( /j.eururo ) Copyright © 2007 European Association of Urology Terms and Conditions


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