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Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava

A 76-year-old Japanese man was referred to our hospital with chief complaint of right hypochondoralgia. Abdominal ultrasound showed a retroperitoneal tumor in the suprarenal region of the right kidney. Computed tomography revealed an enhanced lobular tumor with irregular, circumscribed, and indistin...

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Autores principales: Sonoda, Hirofumi, Minamimura, Keisuke, Endo, Yuhei, Irie, Shoichi, Hirata, Toru, Kobayashi, Takashi, Mafune, Ken-ichi, Mori, Masaya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488522/
https://www.ncbi.nlm.nih.gov/pubmed/26167180
http://dx.doi.org/10.1155/2015/342148
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author Sonoda, Hirofumi
Minamimura, Keisuke
Endo, Yuhei
Irie, Shoichi
Hirata, Toru
Kobayashi, Takashi
Mafune, Ken-ichi
Mori, Masaya
author_facet Sonoda, Hirofumi
Minamimura, Keisuke
Endo, Yuhei
Irie, Shoichi
Hirata, Toru
Kobayashi, Takashi
Mafune, Ken-ichi
Mori, Masaya
author_sort Sonoda, Hirofumi
collection PubMed
description A 76-year-old Japanese man was referred to our hospital with chief complaint of right hypochondoralgia. Abdominal ultrasound showed a retroperitoneal tumor in the suprarenal region of the right kidney. Computed tomography revealed an enhanced lobular tumor with irregular, circumscribed, and indistinct border. Ultrasound-guided biopsy was performed. The tumor consisted of spindle-shaped cells with a giant nucleus and multinuclear cells. The diagnosis was leiomyosarcoma by immunohistochemical staining. The patient underwent surgery accessed by a right eighth intercostal thoracoabdominal incision. The tumor was completely resected, accompanied by removal of the posterosuperior segment of the right hepatic lobe, right adrenal gland, and a portion of the inferior vena cava (IVC). The histopathologic diagnosis was leiomyosarcoma arising from the IVC. We present a rare case of a successfully managed leiomyosarcoma of the IVC. This case suggests the importance of curative surgical resection of the tumor due to low efficacy of adjuvant chemotherapy for leiomyosarcoma.
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spelling pubmed-44885222015-07-12 Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava Sonoda, Hirofumi Minamimura, Keisuke Endo, Yuhei Irie, Shoichi Hirata, Toru Kobayashi, Takashi Mafune, Ken-ichi Mori, Masaya Case Rep Med Case Report A 76-year-old Japanese man was referred to our hospital with chief complaint of right hypochondoralgia. Abdominal ultrasound showed a retroperitoneal tumor in the suprarenal region of the right kidney. Computed tomography revealed an enhanced lobular tumor with irregular, circumscribed, and indistinct border. Ultrasound-guided biopsy was performed. The tumor consisted of spindle-shaped cells with a giant nucleus and multinuclear cells. The diagnosis was leiomyosarcoma by immunohistochemical staining. The patient underwent surgery accessed by a right eighth intercostal thoracoabdominal incision. The tumor was completely resected, accompanied by removal of the posterosuperior segment of the right hepatic lobe, right adrenal gland, and a portion of the inferior vena cava (IVC). The histopathologic diagnosis was leiomyosarcoma arising from the IVC. We present a rare case of a successfully managed leiomyosarcoma of the IVC. This case suggests the importance of curative surgical resection of the tumor due to low efficacy of adjuvant chemotherapy for leiomyosarcoma. Hindawi Publishing Corporation 2015 2015-06-18 /pmc/articles/PMC4488522/ /pubmed/26167180 http://dx.doi.org/10.1155/2015/342148 Text en Copyright © 2015 Hirofumi Sonoda 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
Sonoda, Hirofumi
Minamimura, Keisuke
Endo, Yuhei
Irie, Shoichi
Hirata, Toru
Kobayashi, Takashi
Mafune, Ken-ichi
Mori, Masaya
Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_full Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_fullStr Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_full_unstemmed Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_short Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_sort complete surgical resection of a leiomyosarcoma arising from the inferior vena cava
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488522/
https://www.ncbi.nlm.nih.gov/pubmed/26167180
http://dx.doi.org/10.1155/2015/342148
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