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Inferior vena cava resection for a leiomyosarcoma: A case report
Ahmed Ben Mahmoud1, Chaima Yakoubi1, Selma Kacem2
1Department of Surgery "A", La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
International Journal of Surgery Case Reports
|May 10, 2023
Summary
Surgical resection is the primary curative treatment for rare inferior vena cava leiomyosarcomas. Complex procedures involving visceral resection and vascular reconstruction are often necessary for successful outcomes.
Area of Science:
- Oncology
- Vascular Surgery
- Gastrointestinal Surgery
Background:
- Leiomyosarcomas of the inferior vena cava are rare malignancies.
- Complete surgical resection with free margins is the only potentially curative treatment.
- These tumors often require extensive visceral resection and complex vascular reconstruction due to invasion of surrounding organs and major vessels.
Observation:
- A 53-year-old woman presented with vague abdominal pain.
- Imaging (CT scan, MR angiography) suggested inferior vena cava leiomyosarcoma.
- The patient underwent successful surgical resection with primary repair of the inferior vena cava and right renal vein, and PTFE graft reconstruction for the left renal vein.
Findings:
- Histopathology confirmed the diagnosis of leiomyosarcoma.
- Postoperative recovery was uneventful.
- The surgical approach achieved complete tumor resection with free margins.
Implications:
- Management of inferior vena cava leiomyosarcoma is complex and requires a multidisciplinary approach.
- Surgical expertise in both visceral and vascular surgery is crucial.
- Early diagnosis and consideration of histology are vital for patient prognosis, though not all patients are candidates for surgery.
