Panminerva medica
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Extension into vena cava and right atrium of tumor thrombus from a renal cell carcinoma presents a surgical challenge. The use of cardiopulmonary by-pass, hypothermia and cardiac arrest with temporary exsanguination has allowed the successful surgical excision of this tumor. ⋯ No deaths occurred. The possibility of curing this type of cancer with minimal operative risk and good results is discussed.