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Leiomyosarcoma arising from the right ovarian vein
Kazuomi Suzuki1, Kiyoaki Taniguchi1, Shunichi Ito1
1Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University, 8-1 Kawata-cho, Shinjyuku-ku, Tokyo 162-8666, Japan.
Journal of Surgical Case Reports
|December 7, 2019
Summary
Ovarian vein leiomyosarcomas (LMS) are rare, aggressive tumors with poor outcomes. Early diagnosis and multimodal therapy are crucial for improving patient prognosis in these challenging cases.
Area of Science:
- Oncology
- Vascular Surgery
Background:
- Leiomyosarcomas (LMS) originating from the ovarian vein are exceptionally rare, with fewer than 10 documented cases since 1977.
- These tumors are associated with a poor prognosis, underscoring the need for timely diagnosis and effective treatment strategies.
Observation:
- A 69-year-old woman presented with right abdominal pain, revealing an 80 mm retroperitoneal tumor on CT scan.
- The tumor encased the right ovarian vein, necessitating its resection during surgery.
Findings:
- Pathological examination confirmed the tumor as a leiomyosarcoma of the ovarian vein.
- Nine months post-surgery, the patient developed lung metastases, initiating chemotherapy.
Implications:
- Delayed diagnosis of ovarian vein leiomyosarcoma significantly increases mortality.
- Preoperative diagnosis is vital for optimizing surgical approach and patient management.
- Multimodal therapeutic strategies may offer improved outcomes for this rare malignancy.
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