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Incidentally Diagnosed Extraluminal Leiomyosarcoma of Infrarenal Inferior Vena Cava: A Case Report and Literature Review from a Radiologist’s Perspective
BACKGROUND: Vascular leiomyosarcoma is a rare but most common vascular tumor of the inferior vena cava. CASE PRESENTATION: We present the case of an incidentally diagnosed extraluminal leiomyosarcoma of the inferior vena cava in a 62 year old patient who presented with abdominal pain following blunt...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Vilnius University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9799014/ https://www.ncbi.nlm.nih.gov/pubmed/37733410 http://dx.doi.org/10.15388/Amed.2022.29.2.12 |
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author | Ebinesh, A Ashta, Aanchal Satyam, Pradhan, Gaurav Shanker Sharma, Rohin Das, Prince |
author_facet | Ebinesh, A Ashta, Aanchal Satyam, Pradhan, Gaurav Shanker Sharma, Rohin Das, Prince |
author_sort | Ebinesh, A |
collection | PubMed |
description | BACKGROUND: Vascular leiomyosarcoma is a rare but most common vascular tumor of the inferior vena cava. CASE PRESENTATION: We present the case of an incidentally diagnosed extraluminal leiomyosarcoma of the inferior vena cava in a 62 year old patient who presented with abdominal pain following blunt trauma. Ultrasonography showed a lobulated hypoechoic lesion in the upper abdomen. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a circumscribed lobulated near homogeneously enhancing retroperitoneal lesion in anterior relation to the infrarenal inferior vena cava, right paramedian in location with imperceptible vena caval lumen at the site of maximum contact. In positron emission tomography (PET) CT the lesion showed mild fluorodeoxyglucose (FDG) uptake with no distant metastases. CT guided biopsy with immunohistochemical analysis showed leiomyosarcoma. Patient underwent surgical resection with inferior vena cava reconstruction. CONCLUSIONS: Leiomyosarcoma of the inferior vena cava is a rare tumor of vascular origin. Imaging plays an imperative role in the diagnosis and preoperative evaluation. This article also provides a comprehensive literature review of the radiological features of inferior vena caval leiomyosarcoma that would aid in optimal preoperative characterization and evaluation. |
format | Online Article Text |
id | pubmed-9799014 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Vilnius University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-97990142023-01-03 Incidentally Diagnosed Extraluminal Leiomyosarcoma of Infrarenal Inferior Vena Cava: A Case Report and Literature Review from a Radiologist’s Perspective Ebinesh, A Ashta, Aanchal Satyam, Pradhan, Gaurav Shanker Sharma, Rohin Das, Prince Acta Med Litu Case Studies BACKGROUND: Vascular leiomyosarcoma is a rare but most common vascular tumor of the inferior vena cava. CASE PRESENTATION: We present the case of an incidentally diagnosed extraluminal leiomyosarcoma of the inferior vena cava in a 62 year old patient who presented with abdominal pain following blunt trauma. Ultrasonography showed a lobulated hypoechoic lesion in the upper abdomen. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a circumscribed lobulated near homogeneously enhancing retroperitoneal lesion in anterior relation to the infrarenal inferior vena cava, right paramedian in location with imperceptible vena caval lumen at the site of maximum contact. In positron emission tomography (PET) CT the lesion showed mild fluorodeoxyglucose (FDG) uptake with no distant metastases. CT guided biopsy with immunohistochemical analysis showed leiomyosarcoma. Patient underwent surgical resection with inferior vena cava reconstruction. CONCLUSIONS: Leiomyosarcoma of the inferior vena cava is a rare tumor of vascular origin. Imaging plays an imperative role in the diagnosis and preoperative evaluation. This article also provides a comprehensive literature review of the radiological features of inferior vena caval leiomyosarcoma that would aid in optimal preoperative characterization and evaluation. Vilnius University Press 2022 2022-06-29 /pmc/articles/PMC9799014/ /pubmed/37733410 http://dx.doi.org/10.15388/Amed.2022.29.2.12 Text en Copyright © 2022 Ebinesh A, Aanchal Ashta, Satyam, Gaurav Shanker Pradhan, Rohin Sharma, Prince Das. Published by Vilnius University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Studies Ebinesh, A Ashta, Aanchal Satyam, Pradhan, Gaurav Shanker Sharma, Rohin Das, Prince Incidentally Diagnosed Extraluminal Leiomyosarcoma of Infrarenal Inferior Vena Cava: A Case Report and Literature Review from a Radiologist’s Perspective |
title | Incidentally Diagnosed Extraluminal Leiomyosarcoma of Infrarenal Inferior Vena Cava: A Case Report and Literature Review from a Radiologist’s Perspective |
title_full | Incidentally Diagnosed Extraluminal Leiomyosarcoma of Infrarenal Inferior Vena Cava: A Case Report and Literature Review from a Radiologist’s Perspective |
title_fullStr | Incidentally Diagnosed Extraluminal Leiomyosarcoma of Infrarenal Inferior Vena Cava: A Case Report and Literature Review from a Radiologist’s Perspective |
title_full_unstemmed | Incidentally Diagnosed Extraluminal Leiomyosarcoma of Infrarenal Inferior Vena Cava: A Case Report and Literature Review from a Radiologist’s Perspective |
title_short | Incidentally Diagnosed Extraluminal Leiomyosarcoma of Infrarenal Inferior Vena Cava: A Case Report and Literature Review from a Radiologist’s Perspective |
title_sort | incidentally diagnosed extraluminal leiomyosarcoma of infrarenal inferior vena cava: a case report and literature review from a radiologist’s perspective |
topic | Case Studies |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9799014/ https://www.ncbi.nlm.nih.gov/pubmed/37733410 http://dx.doi.org/10.15388/Amed.2022.29.2.12 |
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