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

Sonoda H, Minamimura K, Endo Y, Irie S, Hirata T, Kobayashi T, Mafune K, Mori M - Case Rep Med (2015)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Division of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, Japan.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

(a) The resected tumor with the posterosuperior segment of the right hepatic lobe, the right adrenal gland, and a portion of the inferior vena cava (IVC) using partial clamping of the IVC; (b) the tumor was white, lobular, and solid.
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fig4: (a) The resected tumor with the posterosuperior segment of the right hepatic lobe, the right adrenal gland, and a portion of the inferior vena cava (IVC) using partial clamping of the IVC; (b) the tumor was white, lobular, and solid.

Mentions: We performed surgical resection of the tumor using a right thoracoabdominal incision at the eighth intercostal space. Intraoperatively, the tumor was located between the posterosuperior segment of the right hepatic lobe, the right adrenal gland, and a portion of the IVC (Figure 3). The tumor was resected completely, along with the posterosuperior segment of the right hepatic lobe, the right adrenal gland, and a portion of the IVC using partial clamping of the IVC (Figure 4(a)). The patient withstood the operation well and was discharged on the 18th postoperative day without any complications.


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

Sonoda H, Minamimura K, Endo Y, Irie S, Hirata T, Kobayashi T, Mafune K, Mori M - Case Rep Med (2015)

(a) The resected tumor with the posterosuperior segment of the right hepatic lobe, the right adrenal gland, and a portion of the inferior vena cava (IVC) using partial clamping of the IVC; (b) the tumor was white, lobular, and solid.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4488522&req=5

fig4: (a) The resected tumor with the posterosuperior segment of the right hepatic lobe, the right adrenal gland, and a portion of the inferior vena cava (IVC) using partial clamping of the IVC; (b) the tumor was white, lobular, and solid.
Mentions: We performed surgical resection of the tumor using a right thoracoabdominal incision at the eighth intercostal space. Intraoperatively, the tumor was located between the posterosuperior segment of the right hepatic lobe, the right adrenal gland, and a portion of the IVC (Figure 3). The tumor was resected completely, along with the posterosuperior segment of the right hepatic lobe, the right adrenal gland, and a portion of the IVC using partial clamping of the IVC (Figure 4(a)). The patient withstood the operation well and was discharged on the 18th postoperative day without any complications.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Division of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, Japan.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus