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Fig. 1D. Grading of tumor thrombus extension. Drawings show tumor
thrombus limited to renal vein (RV) (level 0, A), in renal vein
protruding into vena cava but extending 2 cm or less above renal vein (level
I, B), extending more than 2 cm above renal vein but below intrahepatic
vena cava (level II, C), extending into intrahepatic vena cava but
below diaphragm (level III, D), and extending above diaphragm into
right atrium (RA) (level IV, E).