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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access July 8, 2014

Leiomyosarcoma of inferior vena cava complicated by Budd-Chiari syndrome and disseminated intravascular coagulation — case report

Małgorzata Krakowska-Stasiak, Joanna Kosałka, Krzysztof Wójcik, Barbara Sokołowska, Joanna Szpor, Iwon Grys and Jacek Musiał
From the journal Open Medicine

Abstract

Leiomyosarcoma of inferior vena cava is a rare malignant mesenchymal tumor of the venous system that typically occurs in adulthood. Correct and early recognition of leiomyosarcoma is very important, because a complete resection of the tumor (with occasionally chemio-or radiotherapy) can lead to prolonged survival. We report a case of a 54-year-old man suffering from the leiomyosarcoma of inferior vena cava with infiltration of retroperitoneum and right adrenal gland.

[1] Beiles C. B., Jones R.M., Fell G., Recurrent leiomyosarcoma of the inferior vena cava, Aust. N. Z. J. Surg., 1997,67, 67–68 http://dx.doi.org/10.1111/j.1445-2197.1997.tb01903.x10.1111/j.1445-2197.1997.tb01903.xSearch in Google Scholar PubMed

[2] Nasher M., Wasiewicz J., Murawa P., Nowakowski W., Primary leiomyosarcoma of the interior vena cava. A case report and review of the literature, Wspolczesna Onkol.,1999, 2, 55–56 Search in Google Scholar

[3] Bonura A., Saade C., Sharma P., Leiomyosarcoma of the inferior vena cava, Australas Radiol., 2006, 50, 395–399 http://dx.doi.org/10.1111/j.1440-1673.2006.01611.x10.1111/j.1440-1673.2006.01611.xSearch in Google Scholar PubMed

[4] Lotze U., Reponova J., Muth G., Oltmanns G., Reich H.C., Etzrodt G., Kaiser W.A., Mutschke O., Ortmann M., Stippel D., Wahlers T., Leiomyosarcoma of the inferior vena cava extending into the right atrium. A rare differential diagnosis of a right atrial tumor with fatal outcome, Herz, 2012, 37, 573–578 http://dx.doi.org/10.1007/s00059-011-3580-y10.1007/s00059-011-3580-ySearch in Google Scholar PubMed

[5] Reddy V.P., Vanveldhuizen P.J., Muehlebach G.F., Dusing R.W., Birkbeck J.P., Williamson S.K., Krishnan L., Meyers D.G., Leiomyosarcoma of the inferior vena cava: a case report and review of the literature, Cases J., 2010, 23,3:71 http://dx.doi.org/10.1186/1757-1626-3-7110.1186/1757-1626-3-71Search in Google Scholar PubMed PubMed Central

[6] Hemant D., Krantikumar R., Amita J., Chawla A., Ranjeet N., Primary leiomyosarcoma of inferior vena cava, a rare entity: Imaging features. Australas Radiol., 2001,45(4), 448–451 http://dx.doi.org/10.1046/j.1440-1673.2001.00955.x10.1046/j.1440-1673.2001.00955.xSearch in Google Scholar PubMed

[7] Hashimoto M., Kobayashi T., Tashiro H., Amano H., Oshita A., Tanimoto Y., Kuroda S., Tazawa H., Aikata H., Chayama K., Fujii M., Arihiro K., Ohdan H., A huge metastatic liver tumor from leiomyosarcoma of the inferior vena cava: report of a case, Surg. Today, 2012, 42, 505–508 http://dx.doi.org/10.1007/s00595-011-0070-z10.1007/s00595-011-0070-zSearch in Google Scholar PubMed

[8] Bailey R.V., Strimbling J., Weitzner S., Hardy J.D., Leiomyosarcoma of the inferior vena cava: report of a case and review of literature, Ann Surg., 1976, 184, 169–173 http://dx.doi.org/10.1097/00000658-197608000-0000610.1097/00000658-197608000-00006Search in Google Scholar PubMed PubMed Central

[9] Gowda R.M., Gowda M.R., Mehta N.J., Osborne R., Bixon R., Vasavada B.C., Sacchi T.J., Right atrial extension of primary venous leiomyosarcoma: pulmonary embolism and Budd-Chiari syndrome at presentation-a case report, Angiology, 2004 Mar–Apr,55(2), 213–216 http://dx.doi.org/10.1177/00033197040550021510.1177/000331970405500215Search in Google Scholar PubMed

[10] Terzic M., Aksam S., Bila J., Maricic S., Arsenovic N., Pelvic leiomyosarcoma obstructing vaginal opening — case report, Cent Eur J Med., 2012, 7, 245–248 http://dx.doi.org/10.2478/s11536-011-0128-810.2478/s11536-011-0128-8Search in Google Scholar

[11] Abisi S., Morris-Stiff G.J., Scott-Coombes D., Williams I.M., Douglas-Jones A.G., Puntis M.C., Leiomyosarcoma of the inferior vena cava: clinical experience with four cases, World J SurgOncol., 2006, 4,4:1 http://dx.doi.org/10.1186/1477-7819-4-110.1186/1477-7819-4-1Search in Google Scholar PubMed PubMed Central

[12] Alexander A., Rehders A., Raffel A., Poremba C., Knoefel W.T., Eisenberger C.F., Leiomyosarcoma of the inferior vena cava: Radical surgery and vascular reconstruction, World J Surg Oncol., 2009,7:56 http://dx.doi.org/10.1186/1477-7819-7-5610.1186/1477-7819-7-56Search in Google Scholar PubMed PubMed Central

[13] Griffin A.S., Sterchi J.M., Primary leiomyosarcoma of the inferior vena cava: a case report and review of the literature, J SurgOncol.,1987,34(1), 53–60 10.1002/jso.2930340114Search in Google Scholar PubMed

[14] Tilkorn D.J., Hauser J., Ring A., Goertz O., Stricker I., Steinau H.U., Kuhnen C., Leiomyosarcoma of intravascular origin-a rare tumor entity: clinical pathological study of twelve cases, World J Surg Oncol., 2010, 8:103 http://dx.doi.org/10.1186/1477-7819-8-10310.1186/1477-7819-8-103Search in Google Scholar PubMed PubMed Central

[15] Hartman D.S., Hayes W.S., Choyke P.L., Tibbets G.P., From the archives of the AFIP. Leiomyosarcoma of the retroperitoneum and inferior vena cava: radiologic-pathologic correlation, Radiographics, 1992, 12, 1203–1220 http://dx.doi.org/10.1148/radiographics.12.6.143902210.1148/radiographics.12.6.1439022Search in Google Scholar PubMed

[16] Yadav R., Kataria K., Mathur S.R., Seenu V., Leiomyosarcoma of inferior vena cava: A case series of four cases, Indian J Pathol Microbiol., 2012, 55:83–85 http://dx.doi.org/10.4103/0377-4929.9486510.4103/0377-4929.94865Search in Google Scholar PubMed

[17] Delis S., Triantopoulou C., Bakoyiannis A., Tassopoulos N., Dervenis C., Leiomyosarcoma of the infrarenal portion of the inferior vena cava in a cirrhotic patient with hepatitis C, Abdom Imaging, 2008, 33,222–224 http://dx.doi.org/10.1007/s00261-007-9217-110.1007/s00261-007-9217-1Search in Google Scholar PubMed

[18] Matsui Y., Fujikawa K., Oka H., Fukuzawa S., Takeuchi H., Adrenal leiomyosarcoma extending into the right atrium, Int J Urol.,2002, 9, 54–56 http://dx.doi.org/10.1046/j.1442-2042.2002.00413.x10.1046/j.1442-2042.2002.00413.xSearch in Google Scholar PubMed

[19] Kieffer E., Alaoui M., Piette J.C., Cacoub P., Chiche L., Leiomyosarcoma of the inferior vena cava: experience in 22 cases, Ann Surg., 2006, 244(2), 289–295 http://dx.doi.org/10.1097/01.sla.0000229964.71743.db10.1097/01.sla.0000229964.71743.dbSearch in Google Scholar PubMed PubMed Central

[20] Wilmshurst P., Leiomyosarcoma in the right atrium and occluding the inferior vena cava, Br Heart J.,1995, 73, 236 http://dx.doi.org/10.1136/hrt.73.3.23610.1136/hrt.73.3.236Search in Google Scholar PubMed PubMed Central

[21] Shvarts O., Han K.R., Lam J.S., Belldegrun A.S., Primary leiomyosarcoma of the inferior vena cava presenting as a renal mass, Rev Urol., 2004,6(1), 39–42 Search in Google Scholar

Published Online: 2014-7-8
Published in Print: 2014-6-1

© 2014 Versita Warsaw

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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