A patient presented with renal cell carcinoma invading IVC and renal vein. False statement is:
Patients with renal vein or IVC involvement by tumour but without evidence of metastatic disease remain surgical candidates. Occasionally, nephrectomy and removal of IVC tumour thrombus need to be done. Bench surgery and autotransplantation is performed for larger tumours in a solitary kidney. Chest X-ray should be done to rule out pulmonary metastasis .
Pre-op biopsy is not necessary
IVC involvement indicates inoperability
Pre-op radiotherapy is not essential
Chest X-ray should be done to rule out pulmonary metastasis
Kidney and ureter