EFFICACY AND LIMITS OF CAPILLARY CHEMOEMB OLIZATION OF RENAL-CELL CARCINOMA WITH VENA-CAVA INFILTRATION GRADE-III USING ETHIBLOC(R) MITOMYCIN/

Capillary chemoembolisation of tumors in the treatment of renal cell c arcinoma with vena cava infiltration (T3 Nx MO V2) is discussed on the basis of a high risk patient. This patient had been embolized using E thibloc(R)/Mitomycin C (7.5 mg/10 mg MMC) in combination with 40% gluc ose as occlusion medium. Fourteen months after embolisation a recurren ce of upper pole arteries was observed and successfully reembolized us ing polyvinyl-alcohol. Almost 4 years after the first embolisation, fo llow-up CT scans demonstrated massive shrinkage of the avital residual tumor and vena cava thrombus, indicating the effective, minimally inv asive management of this disease.