Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Nov-Dec;47(6):384-6.
doi: 10.1590/0100-3984.2013.1902.

Leiomyosarcoma of the inferior vena cava: a case report

Rafael Lemos Nascif  1 , Ana Graziela Santana Antón  2 , Gabriel Lacerda Fernandes  1 , George Caldas Dantas  1 , Vinícius de Araújo Gomes  3 , Marcelo Ricardo Canuto Natal  4
Affiliations
Case Reports

Leiomyosarcoma of the inferior vena cava: a case report

Rafael Lemos Nascif et al. Radiol Bras. 2014 Nov-Dec.

Abstract
in English, Portuguese

The authors report a case of a 48 year-old female patient with moderate abdominal pain and bulging in the abdomen. Physical examination demonstrated the presence of a palpable abdominal mass. Computed tomography showed a heterogeneously enhancing retroperitoneal mass in close contact with the inferior vena cava. En bloc resection of the mass and of the attached vena cava segment was performed. Histological analysis revealed leiomyosarcoma.

Relatamos um caso de paciente do sexo feminino, 48 anos, com quadro clínico de dor abdominal de moderada intensidade e abaulamento do abdome. Ao exame físico constatou-se massa abdominal palpável. A tomografia computadorizada mostrou volumosa massa retroperitoneal, com realce heterogêneo e íntima relação com a veia cava inferior. Realizou-se ressecção em bloco da massa e do segmento invadido da veia cava. A histologia revelou leiomiossarcoma.

Keywords: Computed tomography; Inferior vena cava; Leiomyosarcoma.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Contrast-enhanced, axial abdominal CT image demonstrating the presence of a heterogeneously enhanced, large slightly lobulated mass in close contact with the IVC, and a small intraluminal component.
Figure 2
Figure 2
Contrast-enhanced, axial abdominal CT image demonstrating the lesion extending up to the hepatic hilum, displacing the pancreatic head, with imperceptible signal from the IVC.
Figure 3
Figure 3
Non-contrast-enhanced, sagittal abdominal CT image more clearly demonstrating the intraluminal component in the IVC as well as the relationship between the lesion and the hepatic hilum.
Figure 4
Figure 4
Cavography demonstrating two points of failure in the filling of the vessel, representing the intraluminal component of the lesion with dilatation upstream.
See this image and copyright information in PMC

References

    1. Imao T, Amano T, Takemae K. Leiomyosarcoma of the renal vein. Int J Clin Oncol. 2011;16:76–79. - PubMed
    1. Sokolich J, Mejia A, Cheng S, et al. Retroperitoneal leiomyosarcoma of the inferior vena cava mimicking a liver tumor. Am Surg. 2008;74:433–436. - PubMed
    1. Cantwell CP, Stack J. Abdominal aortic invasion by leiomyosarcoma. Abdom Imaging. 2006;31:120–122. - PubMed
    1. Drukker L, Alberton J, Reissman P. Leiomyosarcoma of the inferior vena cava: radical surgery without vascular reconstruction. Vasc Endovascular Surg. 2012;46:688–690. - PubMed
    1. Sessa B, Iannicelli E, Caterino S, et al. Imaging of leiomyosarcoma of the inferior vena cava: comparison of 2 cases and review of the literature. Cancer Imaging. 2010;10:80–84. - PMC - PubMed

Publication types

LinkOut - more resources