scholarly journals Leiomyosarcoma of the Inferior Venacava: A Case Report

2019 ◽  
Vol 57 (217) ◽  
Author(s):  
Diksha Karki ◽  
Paricha Upadhayaya ◽  
Purbesh Adhikari ◽  
Mona Dahal ◽  
Bishow Prakash Jung Thapa ◽  
...  

Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middlesegment of inferior vena cava is the commonest site. The diagnosis can sometimes be challengingas patients present with non-specific symptoms. We present a case of a 65-year-old female whopresented with pain in hypochondrium and epigastric region since 4 months along with weightloss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobatedtumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumorcells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. Withthe diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangentialexcision of 4 cm length of inferior venacava with primary repair.

Medicina ◽  
2010 ◽  
Vol 46 (3) ◽  
pp. 200 ◽  
Author(s):  
Edita Bieliūnienė ◽  
Giedrė Kavaliauskienė ◽  
Dalia Mitraitė ◽  
Eglė Jonaitienė ◽  
Algidas Basevičius ◽  
...  

Leiomyosarcoma is a rare tumor of mesenchymal origin usually affecting the inferior vena cava. Early diagnosis is essential before surgical resection, which is the only therapeutic modality that prolongs patients’ survival. Ultrasonography, computer tomography, and magnetic resonance imaging are the main imaging modalities in this case. Combined with guided biopsies, they form the mainstay of reliable diagnosis. We report a case with retroperitoneal tumor arising from the middle segment of the inferior vena cava. Radiological examination revealed retroperitoneal tumor and helped to choose surgical treatment. Histopathological examination confirmed the diagnosis of leiomyosarcoma of the inferior vena cava.


2020 ◽  
Vol 71 ◽  
pp. 50-53
Author(s):  
Kira Keller ◽  
Barbara Jacobi ◽  
Mahmoud Jabal ◽  
Gregor Alexander Stavrou

2021 ◽  
Vol 15 (1) ◽  
pp. 36-42
Author(s):  
S. V. Lukyanov ◽  
K. M. Blikyan ◽  
S. S. Todorov ◽  
V. Y. Deribas ◽  
N. S. Lukyanov

Adrenal leiomyosarcoma — rare mesenchymal tumor, which is diagnosed most often after it reaches a large size. Primary adrenal leiomyosarcoma is extremely rare: in the English-language literature, only 45 cases were previously reported. We report the case of a 46-year-old man with the formation of the right adrenal gland measuring 12x8x7,5 cm. The patient underwent right-sided adrenalectomy, nephrectomy, and plastic of the inferior vena cava. The phenotype was confirmed by light microscopy and immunohistochemistry. Microscopic examination of the tumor is represented by fusiform and polymorphic cells that form multidirectional bundle structures with a high rate of mitosis. Immunohistochemically, tumor cells were positive for smooth muscle actin, CD-34, CD-117.


2019 ◽  
Vol 62 (1) ◽  
pp. 19-22
Author(s):  
José Eduardo Telich-Tarriba ◽  
◽  
Rodrigo Bolaños-Jiménez ◽  
Jorge Arizmendi-Vargas ◽  
Alejandra Martínez-Schulted ◽  
...  

2021 ◽  
pp. 152660282110250
Author(s):  
Yun Chul Park ◽  
Hyoung Ook Kim ◽  
Nam Yeol Yim ◽  
Byung Chan Lee ◽  
Chan Park ◽  
...  

Purpose The treatment of suprahepatic inferior vena cava (IVC) ruptures results in high mortality rates due to difficulty in performing the surgical procedure. Here, we present a case of successful endovascular management of a life-threatening suprahepatic IVC rupture with top-down placement of a stent graft. Case Report A 33-year-old woman was involved in a traffic accident and presented to our emergency department due to unstable hemodynamics after blunt abdominal wall trauma. Computed tomography (CT) revealed massive extravasation of contrast agent from the suprahepatic IVC, which suggested traumatic suprahepatic IVC rupture. To seal the IVC, to salvage major hepatic veins, and to prevent migration of the stent graft into the right side of the heart after placement, an aortic cuff with a proximal hook was introduced in a top-down direction via the right internal jugular vein. After closure of the injured IVC, the patient’s hemodynamics improved, and additional laparotomy was performed. After 3 months of trauma care, the patient recovered and was discharged. Follow-up CT after 58 months showed a patent stent graft within the IVC. Conclusion Endovascular management with top-down placement of a stent graft is a viable option for emergent damage control in patients with life-threatening hemorrhage from IVC rupture.


2017 ◽  
Vol 85 (4) ◽  
pp. 361-365
Author(s):  
José Antonio López-Ruiz ◽  
Luis Tallón-Aguilar ◽  
Beatriz Marenco-de la Cuadra ◽  
José López-Pérez ◽  
Fernando Oliva-Mompeán ◽  
...  

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