Renal Cell Carcinoma — Invasion of Veins

Abstract
Out of 188 operatively removed renal cell carcinomas 49 % showed macroscopic evidence of vein invasion and in 28 % of the cases only histologically provable vein invasion. The uncorrected 5-year survival rates amounted to 40.8 % in macroscopic vein invasion, 60.6 % in histologically provable vein invasion and 75.6 % in the absence of vein invasion. The term ‘vein invasion’ should therefore always be defined more precisely. Hence we suggest to modify the V classification of 1974 of the UICC.

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