Leiomyosarcoma of the Inferior Vena Cava: A Case Report

Crema, Eduardo; Gomes, Marília Gabriela Zanier; Monteiro, Isabela de Oliveira; Lima, Tatiana Silva de; Silva, Alex Augusto

doi:10.1177/0003319707306960

Cited by 9 publications

(4 citation statements)

References 14 publications

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“…[10] Aggressive surgical removal with negative margins is essential followed by venous reconstruction by prosthetic replacement of the inferior vena cava whenever considered necessary. The material of choice for prosthetic replacement is reinforced polytetrafluoroethylene.…”

Section: Discussionmentioning

confidence: 99%

Right atrial extension of a giant retroperitoneal leiomyosarcoma

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Right atrial extension of a giant retroperitoneal leiomyosarcoma

et al. 2017

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“…The recommended therapy for treating leiomyosarcoma is aggressive surgical removal of the tumor by means of modern vascular surgery, in combination with chemotherapy and/or radiotherapy [2, 8, 10]. In surgery, a complete resection of the tumor was possible, and the IVC was repaired primarily via surgical means without too high a risk of postoperative edema.…”

Section: Discussionmentioning

confidence: 99%

Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor

Ueda

Yoshida

Mamada

et al. 2013

Case Reports in Medicine

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Introduction. Leiomyosarcomas of vascular origin are particularly rare tumors occurring mainly in the inferior vena cava (IVC). They are malignant, slow-growing tumors with a poor prognosis. This paper reports on a rare case of surgical resection of an IVC leiomyosarcoma mimicking a hepatic tumor. Case Presentation. A 65-year-old Japanese male was admitted for evaluation of an abdominal tumor. Enhanced computed tomography of the abdomen revealed a slightly enhanced heterogeneous tumor, 18 mm in diameter, between the Spiegel lobe of the liver and the IVC in early-phase images, with no enhancement or washout in late-phase images. We diagnosed this tumor as either a hepatic tumor in the Spiegel lobe or a retroperitoneal tumor such as leiomyosarcoma or liposarcoma and performed a laparotomy. On the basis of surgical findings, we extirpated the tumor by performing a wedge resection of the wall of the IVC and suturing the primary IVC wall. Pathological findings led to a further diagnosis of the tumor as a leiomyosarcoma originating in the IVC. Thirty-seven months after the operation, multiple liver and lung metastases were detected, and the patient died from multiple organic failures. Conclusion. We experienced a rare case of a leiomyosarcoma of IVC mimicking hepatic tumor.

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“…IVC LMS primarily metastasizes to the lung, liver, and occasionally to bone and brain. 9,10 The presentation of LMS depends on its location along the IVC, which can be divided into three segments for this purpose. Segment I (lower) is below the renal veins and is involved in 36% of cases.…”

Section: Discussionmentioning

confidence: 99%

Primary leiomyosarcoma of the inferior vena cava: Reports of infrarenal and suprahepatic caval involvement

Tameo

Calligaro

Antin

et al. 2010

Journal of Vascular Surgery

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We report two cases of primary inferior vena cava (IVC) leiomyosarcoma. The first patient was a 60-year-old female who presented with abdominal pain. The patient was initially diagnosed with a retroperitoneal sarcoma that may have involved the right renal vessels and the IVC. The Vascular Surgery Service was consulted intra-operatively when it became evident that the IVC was primarily involved. The patient was treated with total en-bloc excision of the infrarenal IVC tumor with concomitant interposition polytetrafluoroethylene (PTFE) graft caval replacement. The second patient was a 58-year-old female who presented with general malaise and anemia. This tumor began in the distal infrarenal IVC and extended cephalad to the suprahepatic IVC, ending approximately 2 cm below the right atrium. Intrapericardial IVC clamping was required for cephalad control in this patient, who was then treated with excision of the tumor and concomitant interposition PTFE graft caval replacement with reimplantation of the right renal vein. A review of this rare tumor is presented.

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Leiomyosarcoma of the Inferior Vena Cava: A Case Report

Cited by 9 publications

References 14 publications

Right atrial extension of a giant retroperitoneal leiomyosarcoma

Right atrial extension of a giant retroperitoneal leiomyosarcoma

Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor

Primary leiomyosarcoma of the inferior vena cava: Reports of infrarenal and suprahepatic caval involvement

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