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Fig. 4 | Cancer Imaging

Fig. 4

From: Contrast-enhanced ultrasound in detecting wall invasion and differentiating bland from tumor thrombus during robot-assisted inferior vena cava thrombectomy for renal cell carcinoma

Fig. 4

A 55-year-old female patient with a neoplasm of right kidney accompanied by IVC tumor thrombus. She underwent robot-assisted IVC transection. a Intra-operative contrast-enhanced ultrasound (CEUS) reveals that there is no perfusion area on the head side of the tumor thrombus, and co-existence of tumor thrombus and bland thrombus? b Post-operative morphology shows yellow tissue on the head side of the tumor thrombus (arrows). c Post-operative pathology reveals necrotic tissue on the head side of tumor thrombus. IVC = inferior vena cava, TT = tumor thrombus, BT = bland thrombus, NT = necrosis

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