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Intravascular Ultrasound for the Evaluation and Management of Retroperitoneal, Genitourinary Malignancies

  • New Imaging Techniques (S Rais-Bahrami and K Porter, Section Editors)
  • Published:
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Abstract

Purpose of Review

Herein we provide a review of intravascular ultrasound (IVUS) and its ability to assist in the evaluation and surgical management of advanced retroperitoneal, genitourinary tumors.

Recent Findings

Advanced retroperitoneal tumors such as advanced renal cell carcinoma, bulky retroperitoneal lymphadenopathy associated with advanced testicular carcinoma, large adrenal tumors, and retroperitoneal sarcomas can invade, compress, or distort vascular anatomy making surgical resection challenging and high risk. Intravascular ultrasonography is commonly used by vascular and cardiothoracic surgery to provide a real time assessment of vascular invasion, compression, and aberrant anatomy to assist with pre-operative and/or intraoperative decision-making. However, the application of this technology to assist with cancer surgery has been limited.

Summary

The use of intravascular ultrasound prior to radical, extirpative, retroperitoneal surgery involving large vessels can aid in the planning and execution of such challenging operations.

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Authors and Affiliations

  1. School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA

    Stephen Leahy

  2. Department of Urology, Faculty Office Tower 1107, University of Alabama at Birmingham, 510 20th Street South, Birmingham, AL, USA

    Andrew M. Fang & Charles C. Peyton

  3. Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, AL, USA

    Charles Banks, William F. Gaillard & Adam W. Beck

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All authors contributed to the study conception, study design, material preparation, manuscript preparation, and manuscript approval.

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Correspondence to Charles C. Peyton.

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Leahy, S., Fang, A.M., Banks, C. et al. Intravascular Ultrasound for the Evaluation and Management of Retroperitoneal, Genitourinary Malignancies. Curr Urol Rep 23, 67–73 (2022). https://doi.org/10.1007/s11934-022-01092-y

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