Abstract

Renal cell carcinoma is well known to invade along the vena cava, eventually reaching the right atrium. It is equally well known that patients with carcinoma of any type have a high incidence of thromboembolism. When a thrombus is detected in the vena cava in patients with renal cell carcinoma, it is important for possible therapy to determine if the clot is thrombotic or contains tumor. The authors present a case of renal cell carcinoma with inferior vena caval thrombus for which PET scanning helped to show that the thrombus contained metastatic disease.

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