Leiomyosarcoma of the Inferior Vena Cava

Diamond, H.M.; Lyon, Edward S.; Hui, N.T.; Pauw, A.P. De

doi:10.1016/s0022-5347(17)58890-4

Cited by 10 publications

(3 citation statements)

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“…On angiography, LMS of the IVC exhibited variable degrees of vascularity [14,15,24,26,[29][30][31]36,38,44,56,59,[61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78]. Hypervascular tumors derived their blood supply from the hepatic artery or its branches, adrenal, lumbar, gastric, pancreaticoduodenal, or gastroduodenal artery.…”

Section: Clinical Presentationmentioning

confidence: 99%

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Leiomyosarcoma of the inferior vena cava: A clinicopathologic review and report of three cases

et al. 1997

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Background and Objectives We operated on three patients with leiomyosarcoma of the inferior vena cava. Methods Complete excision was possible in all three patients. Results One patient developed widespread metastasis at 23 months, one patient is alive with no evidence of disease at 70 months, and one patient is alive at 15 months. The third patient had subcutaneous and pulmonary metastases at the time of presentation, which are radiologically nondetectable at present following postoperative chemotherapy. Conclusions The clinicopathologic features, prognostic factors, and treatment of 130 cases found in a comprehensive literature search and our three cases are reported. J. Surg. Oncol. 1997;65:205–217. © 1997 Wiley‐Liss, Inc.

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Section: Clinical Presentationmentioning

confidence: 99%

“…Implantation of the left renal vein in the upper or lower IVC stump or in the graft was performed in seven cases [40,56,61,73,76,81]. Resection of concomitant metastatic disease was performed in six cases [37,46,52,61,66,78]. Resection of involved nearby structure (excluding the kidney) was performed in three cases [24,25,52].…”

Section: Treatmentmentioning

confidence: 99%

Leiomyosarcoma of the inferior vena cava: A clinicopathologic review and report of three cases

et al. 1997

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“…Beim Leiomyosarkom der VCI handelt es sich um einen seltenen, retroperitoneal gelegenen malignen Tumor mesenchymalen Ursprungs.Der Inzidenzgipfel der Erkrankung liegt in der 6.Lebensdekade, wobei Frauen deutlich häufiger als Män-ner betroffen sind [3,4]. Typische Symptome der Leiomyosarkome sind bedingt durch vaskuläre Okklusionsphänomene wie Budd-Chiari-Syndrom oder periphere Einflussstauungen und durch sekundäre Tumorabsiedlungen.…”

Section: Diskussionunclassified

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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