Inferior vena caval leiomyosarcoma: Diagnosis and biopsy with color Doppler sonography

Singh-Panghaal, Sunita; Karcnik, Teresa J.; Wachsberg, Ronald H.; Baker, Stephen R.

doi:10.1002/(sici)1097-0096(199706)25:5<275::aid-jcu10>3.0.co;2-i

Cited by 6 publications

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References 6 publications

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“…The general findings of gray-scale ultrasonography of an inferior vena cava leiomyosarcoma are solid but often show cystic necrosis with irregular walls (6, 8). In our case, the sonographic findings were compatible with those of the CT scans, i.e., the pedicular structure was a tumor-invading ovarian vein.…”

Section: Discussionmentioning

confidence: 99%

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Leiomyosarcoma of the Ovarian Vein: a Case Report with Radiological Findings

et al. 2008

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Leiomyosarcomas of the ovarian vein are very rare. Four cases have been reported in the English language clinical literature. We present a case of leiomyosarcomas where the use of multi-detector CT had a substantial role in the establishment of the preoperative diagnosis. The radiological images as well as intraoperative features are illustrated. We also discuss the radiological findings of the ovarian vein leiomyosarcoma in comparison with those of other venous or retroperitoneal leiomyosarcomas. We expect that the use of multi-detector CT will be the choice for the diagnostic work-up of vascular leiomyosarcomas.

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Section: Discussionmentioning

confidence: 99%

“…Hematological metastasis occurs more commonly than lymphatic metastasis. The frequent sites for metastases are the liver, lung, brain, and peritoneum (1, 2, 6, 8). Local recurrence occurs occasionally in 40% to 77% of cases, even though a complete excision was made (6).…”

Section: Discussionmentioning

confidence: 99%

Leiomyosarcoma of the Ovarian Vein: a Case Report with Radiological Findings

et al. 2008

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“…Diagnosis [1,4,5] The early detection of a leiomyosarcoma of the IVC is usually difficult. In literature, the diagnosis of about 53% patients had been confirmed only after laparotomy.…”

Section: Discussionmentioning

confidence: 99%

Leiomyosarcoma of Inferior Vena Cava: Report of 7 Cases and Literature Review

Zheng

Song

Jiang

et al. 2004

Chinese-German J Clin Oncol

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Leiomyosarcoma of inferior vena cave (IVC) is an extremely rare primary malignant tumor, no more than 200 cases of leiomyosarcoma of IVC were reported in publications as single case or as small series up to date [1] . In this report, 7 cases of primary leiomyosarcoma of IVC were presented. The diagnosis and treatment of leiomyosarcoma of IVC were also reviewed. Materials and methods General conditionIn this report, 7 cases of leiomyosarcoma of IVC consisting of 1 male and 6 females with an age ranging from 29 to 61 were presented. Two cases underwent laparotomy with the diagnosis of carcinoma of pancreas or primary retroperitoneal neoplasm. Main symptomsIn our 7 cases, the main symptoms included pain, discomfort or palpable mass in the right upper abdomen and 2 cases had lower extremity edema. Preoperative ultrasound, computed tomography and magnetic resonance imaging examination revealed retroperitoneal heterogenous mass involving the IVC, adjacent to duodenum and head of the pancreas or anterior to the right kidney. In general, the neoplasm had a smooth margin, calcium spot and necrosis lesions. DSA showed a lacuna or absence in the IVC at different portions. All cases were diagnosed as primary retroperitoneal tumors without identifying its origin and feature. Surgical procedureThe tumors and the involved IVC or even adjacent organs were successfully resected in 6 patients. One patient only did celiotomy. After IVC resection, 2 cases underwent reconstruction of IVC with direct suture, one prostheses replacement of resected IVC, and 3 cases without IVC reconstruction.

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“…Dass -neben der Sonographie [14] insbesondere die CT und die MRT Verfahren sind,mit denen die Charakteristika der Leiomyosarkome der VCI suffizient erfasst werden können, wurde bereits gezeigt [1,5,15].Einen besonderen Stellenwert besitzt die dreidimensionale (3D-) Schnittbildgebung zudem bei der detaillierten Darstellung der Beziehungen zu benachbarten Organen sowie in der präoperativen Planung vor Gefäßrekonstruktionen der VCI.…”

Section: Der Urologe [A] 1 · 2004 | 67unclassified

Fehldeutung eines Leiomyosarkoms der V.�cava inferior als Nierenzellkarzinom

et al. 2004

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Leiomyosarcoma of the vena cava inferior (VCI) is a rare mesenchymal malignant tumor of the retroperitoneum. About 200 cases have been described in the literature so far. Leiomyosarcomas may resemble other tumors including renal cell carcinoma, adrenal carcinoma, and hepatic adenoma. Thus, misinterpretation of a leiomyosarcoma of the VCI is a common problem. We present a 71-year-old female with a large subhepatic, retroperitoneal tumorous mass which was diagnosed to be a renal cell carcinoma by sonography and computed tomography. After application of magnetic resonance imaging and retrospective analysis of the CT scan, diagnosis could be revised. Laparotomy and en bloc resection of the tumor was performed; histopathological examination confirmed a leiomyosarcoma of the VCI. The postoperative course was unremarkable. Leiomyosarcoma of the VCI may resemble advanced stages of renal cell carcinoma. High-resolution imaging modalities (computed tomography, magnetic resonance imaging) are able to precisely evaluate the typical imaging characteristics of leiomyosarcomas, thus determining correct diagnosis in affected patients. This is essential for successful operative therapy.

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Inferior vena caval leiomyosarcoma: Diagnosis and biopsy with color Doppler sonography

Cited by 6 publications

References 6 publications

Leiomyosarcoma of the Ovarian Vein: a Case Report with Radiological Findings

Leiomyosarcoma of the Ovarian Vein: a Case Report with Radiological Findings

Leiomyosarcoma of Inferior Vena Cava: Report of 7 Cases and Literature Review

Fehldeutung eines Leiomyosarkoms der V.�cava inferior als Nierenzellkarzinom

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