INFERIOR VENA-CAVA INVOLVEMENT BY A LEFT SIDE ADRENOCORTICAL CARCINOMA - OPERATIVE AND PROGNOSTIC CONSIDERATIONS

We report the fifth case of neoplastic involvement of the infrahepatic portion of the inferior vena cava, observed in a young woman affected by a left adrenal cortical carcinoma. The intracaval extension of a n eoplastic thrombus from an adrenal tumor is a rare complication that s hould not be considered a dismal prognostic factor and does not contra indicate tumor resection with curative intent. Caval invasion must be preoperatively investigated to plan the correct surgical access and av oid the risk of neoplastic embolization.