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Updated: Jul 4, 2026
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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Leiomyosarcoma of the cephalic vein
1Department of Urology Bristol Royal Infirmary Bristol UK.
Sarcoma
|June 4, 2008
Summary
This is the first reported case of a high-grade leiomyosarcoma originating in the cephalic vein. The rare venous tumor was surgically removed, and the patient experienced local control before passing from unrelated causes.
Area of Science:
- Vascular Surgery
- Surgical Oncology
- Histopathology
Background:
- Leiomyosarcomas are malignant tumors arising from smooth muscle tissue.
- Vascular leiomyosarcomas are rare, with most occurring in large veins.
- The cephalic vein is a superficial vein of the upper limb.
Purpose of the Study:
- To report the first case of a leiomyosarcoma arising within the cephalic vein.
- To describe the clinical presentation, surgical management, and histopathological findings.
- To contribute to the limited literature on venous leiomyosarcomas.
Main Methods:
- En bloc excision of a forearm mass involving the cephalic vein.
- Histopathological analysis to confirm high-grade leiomyosarcoma.
- Clinical follow-up to assess tumor control.
Main Results:
- A 5 x 4 x 3 cm(3) high-grade leiomyosarcoma was identified within the cephalic vein.
- The tumor extended along the vein's course and tributaries.
- Local and distal tumor control was achieved.
- The patient died 10 months later from an unrelated illness.
Conclusions:
- This case represents the first documented instance of cephalic vein leiomyosarcoma.
- Surgical resection is a primary treatment modality for localized venous leiomyosarcomas.
- Further research is needed to understand the behavior and optimal management of rare venous tumors.
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