Figure 1

Examples for advanced tumor thrombi. A Preoperative CT-scan of a 65 year old male with a Level IV tumor thrombus extending to the right ventricel. This patient lives 27 months after surgery without evidence of disease; B Surgical specimen including “en-block” resection of Level IV tumor thrombus (A), kidney with tumor (B) and left hemicolon (C). This patient, presented with pulmonal metastasis at time of surgery, lives 43 months after surgery receiving multikinase inhibitors.