Would you start anticoagulation in a patient with RCC and related (tumor) thrombus with extension to renal vein and further?

Topics: Genitourinary Cancers • Medical Oncology • Renal Cell Carcinoma • Thrombosis

Answer from: Medical Oncologist at Academic Institution

Tumor thrombus is an intraluminal extension of tumor mass, rather than a true thrombus. There is no evidence that anticoagulation improves outcome in tumor thrombus https://ashpublications.org/blood/article/134/Supplement_1/2430/422890/Natural-History-of-Tumor-Thrombus-A-Single-Centre. Primary manag...

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Medical Oncologist at New York Medical College
I have seen full dose being used commonly in pract...

Answer from: Medical Oncologist at Academic Institution

If it's radiographically read as tumor thrombus (not always easy), no AC. If bland thrombus component, AC.

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Medical Oncologist at Southwest Medcl Consult SC
Disagree in principle. The vascular endothelium h...

Answer from: Medical Oncologist at Community Practice

Tumor thrombus usually can be distinguished from bland thrombus by contrast enhancement, vessel expansion, and PET scan activity. If clearly bland thrombus, I will AC and avoid IVC filter.

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