Resection of the inferior vena cava for lumbar metastasis of a seminoma of the ovary.

A case of lumbar metastasis of a seminoma of the ovary is presented. Resection of the tumor with the attached inferior vena cava below the right renal vein was carried out, followed by 4000 rad therapy. The phlebographic study shows the importance of lumbar veins and left gonadal vein in the returning venous blood after the resection of the inferior vena cava. Fifteen years after the operation the patient is in good physical state. The case is a proof for aggressive surgical management in such conditions.