Safe Resection of Renal Cell Carcinoma with Liver Invasion Using Liver Hanging Technique Supported by Preoperative Portal Vein Embolization

Figure 1

Computed tomography (CT) finding of primary site (A, C), lung metastasis (B, D, E), and intramuscular metastasis (F-H). Hypervascular renal tumor with liver invasion, IVC extension (arrowhead, left), and lung metastasis (arrowhead, right) were observed. After a month of presurgical treatment, tumor thrombus and lung metastasis had decreased (A-B, F: before treatment, C-D, G: after treatment). CT appearance of lung metastasis and that of intramuscular metastasis at 18 months after surgery are shown (E, H).