A case of giant leiomyosarcoma of the inferior vena cava with liver metastases: A surgical challenge
نویسندگان
چکیده
Introduction: Leiomyosarcoma of the inferior vena cava is a rare tumor that is hard to diagnose because there are no definitive symptoms. Case Report: A 72-year-old Japanese female presented with edema in both legs. Enhanced computed tomography scan of the abdomen revealed a heterogeneous tumor measuring 10×11×15 cm, which exerted pressure on the inferior vena cava. We preoperatively diagnosed the tumor as leiomyosarcoma in the middle region of the inferior vena cava. During resection of the tumor, the right and left renal veins and inferior vena cava were clamped for 32 minutes. A 90mm elliptical resection was taken from the inferior vena cava and replaced with a 20-mm straight vascular graft. Pathological examination indicated leiomyosarcoma of the inferior vena cava and liver metastasis. The patient was put on anticoagulant drugs and discharged on the 14th postoperative day. Conclusion: We report a rare case of giant leiomyosarcoma of the inferior vena cava with liver metastasis.
منابع مشابه
Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor
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. ...
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