Abstract
Renal sarcoma with venous tumour thrombus is usually an aggressive malignancy that necessitates complete surgical extirpation to achieve cure. Due to the rarity of these tumours, clinicians rely on case reports to better understand and treat patients with this disease. We recently encountered 2 patients with renal sarcoma who developed malignant pulmonary embolus. Our cases, combined with those previously published, suggest renal sarcoma tumour thrombus is at high risk for spontaneous and intraoperative embolization. This report details our experience and outlines measures that may decrease the rate of venous tumour embolization in patients with sarcoma.