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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. C...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3590509/ https://www.ncbi.nlm.nih.gov/pubmed/23509466 http://dx.doi.org/10.1155/2013/235698 |
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author | Ueda, Junji Yoshida, Hiroshi Mamada, Yasuhiro Taniai, Nobuhiko Yoshioka, Masato Kawano, Youichi Mizuguchi, Yoshiaki Shimizu, Tetsuya Takata, Hideyuki Uchida, Eiji |
author_facet | Ueda, Junji Yoshida, Hiroshi Mamada, Yasuhiro Taniai, Nobuhiko Yoshioka, Masato Kawano, Youichi Mizuguchi, Yoshiaki Shimizu, Tetsuya Takata, Hideyuki Uchida, Eiji |
author_sort | Ueda, Junji |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3590509 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-35905092013-03-18 Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor Ueda, Junji Yoshida, Hiroshi Mamada, Yasuhiro Taniai, Nobuhiko Yoshioka, Masato Kawano, Youichi Mizuguchi, Yoshiaki Shimizu, Tetsuya Takata, Hideyuki Uchida, Eiji Case Rep Med Case Report 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. Hindawi Publishing Corporation 2013 2013-02-20 /pmc/articles/PMC3590509/ /pubmed/23509466 http://dx.doi.org/10.1155/2013/235698 Text en Copyright © 2013 Junji Ueda et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ueda, Junji Yoshida, Hiroshi Mamada, Yasuhiro Taniai, Nobuhiko Yoshioka, Masato Kawano, Youichi Mizuguchi, Yoshiaki Shimizu, Tetsuya Takata, Hideyuki Uchida, Eiji Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor |
title | Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor |
title_full | Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor |
title_fullStr | Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor |
title_full_unstemmed | Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor |
title_short | Surgical Resection of a Leiomyosarcoma of the Inferior Vena Cava Mimicking Hepatic Tumor |
title_sort | surgical resection of a leiomyosarcoma of the inferior vena cava mimicking hepatic tumor |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3590509/ https://www.ncbi.nlm.nih.gov/pubmed/23509466 http://dx.doi.org/10.1155/2013/235698 |
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