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Case Reports
. 2019 Aug;23(3):274-277.
doi: 10.14701/ahbps.2019.23.3.274. Epub 2019 Aug 30.

Inferior vena cava leiomyosarcoma in an octogenerian

Sudharsan Madhavan  1 , Sameer P Junnarkar  1 , Nicholas Wee Chong Koh  1 , Vishalkumar G Shelat  1
Affiliations
Case Reports

Inferior vena cava leiomyosarcoma in an octogenerian

Sudharsan Madhavan et al. Ann Hepatobiliary Pancreat Surg. 2019 Aug.

Abstract

Inferior Vena Cava (IVC) leiomyosarcoma (LM) is a rare malignancy of mesenchymal origin with an incidence of 1/100,000. We present an 82-year-old lady with a past history of open cholecystectomy who presented with a large indeterminate mass on abdominal imaging. Open resection of the mass was performed and histology with immunohistochemical staining revealed leiomyosarcoma. She received adjuvant radiotherapy and remained disease free 4 years after.

Keywords: Inferior vena cava; Leiomyosarcoma; Octogenerian; Sarcoma; Vascular tumour.

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Figures

Fig. 1
Fig. 1. Preoperative computed tomography of the abdomen and pelvis. Computed tomography scan showing mass with internal calcification which abuts inferior vena cava and is within the gallbladder bed.
Fig. 2
Fig. 2. Histopathological specimens of the tumor. (A) Macroscopic photos of resection specimen showing the characteristic fleshy appearance of a mesenchymal tumor. (B) intersecting fascicles of eosinophilic tumor cells (Haematoxylin and eosin stain ×50). (C) Areas show marked nuclear atypia with mitoses (Haematoxylin and eosin ×200). (D) The tumor cells show strong desmin positivity (Desmin stain ×200).
See this image and copyright information in PMC

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