Leiomyosarcoma of the inferior vena cava

Patel, Jashbhai K.; Englander, Lenore S.

doi:10.1002/jso.2930210409

Cited by 17 publications

(4 citation statements)

References 11 publications

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“…A high desmin immunoreactivity rate exceeding that seen in other soft tissue LMS was noted [12]. Myofibrils, intracytoplasmic actin-type filaments, peripheral cytoplasmic micropinocytotic vesicles, and occasional tight junctions between tumor cells were described [28,35,36].…”

Section: Pathologic Featuresmentioning

confidence: 92%

“…Ultrasonography was used to rule out hepatobiliary and pancreatic pathology and to confirm the presence of a tumor. The tumor appeared as a mass with homogenous or heterogenous sound patterns [5,26,28,39,36,41,48,[60][61][62][63][64][65][66][67][68]. Doppler ultrasound gave information about patency of the portal or systemic venous system [41,48,65].…”

Section: Clinical Presentationmentioning

confidence: 99%

“…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%

“…Attempt at resection in one case resulted in severe hemorrhage and death, and a decompressive procedure, mesoatrial shunt with right atrium tumor thrombectomy, performed in another case resulted also in hemorrhagic shock and death [11,60]. In 13 cases (32.5%), a celiotomy without tumor resection was performed [17,21,23,31,32,36,38,57,59,77,80]. A celiotomy was not performed in 25 cases (62.5%).…”

Section: Treatmentmentioning

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: Pathologic Featuresmentioning

confidence: 92%

Section: Clinical Presentationmentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

Section: Treatmentmentioning

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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Primary leiomyosarcoma of the inferior vena cava: A case report and review of the literature

Griffin

Sterchi

1987

Journal of Surgical Oncology

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Sixty-six cases of leiomyosarcoma of the inferior vena cava (IVC) have been reported. We present another case and review the characteristics and treatment of this rare tumor. IVC leiomyosarcomas spread by extension into adjacent tissue planes. Direct extension into the heart is known, but not into the kidneys, adrenals, or bowel. IVC leiomyosarcomas arising below the renal vein cause pain in the right-lower quadrant, back, and flank, and varying degrees of lower extremity edema; those arising in the middle caval segment cause right-upper-quadrant pain and sometimes renovascular hypertension; those arising above the hepatic vein cause varying manifestations of the Budd-Chiari syndrome. A reasonable approach to early diagnosis involves oral and intravenous contrast studies followed by computed tomography, angiography, and vena cavography. Aggressive surgical treatment is optimal in light of the tumor's slow growth pattern and relatively low malignant potential. (Metastases have been reported in fewer than 50% of cases). Tumors involving the lower IVC are most amenable to surgery; extensive collateral venous drainage of the left kidney preserves renal function during resection of middle caval tumors. Upper caval leiomyosarcomas are the least amenable to complete removal. Postoperative survival of all patients has ranged from a few weeks to eight years.

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Rare Types of Neoplastic Progression

Kaiser¹

1989

Local Invasion and Spread of Cancer

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Leiomyosarcoma of the inferior vena cava

Abstract: A case of leiomyosarcoma of the inferior vena cava of a 46-year-old man is presented, and review of 51 cases of this type of malignant tumor is made. The biological behavior of this tumor and various treatment modalities are discussed.

Cited by 17 publications

References 11 publications

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

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

Primary leiomyosarcoma of the inferior vena cava: A case report and review of the literature

Rare Types of Neoplastic Progression

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