Korean J Med.
2001 Jan;60(1):92-96.
Leiomyosarcoma of the inferior vena cava: A case report
- Affiliations
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- 1Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
- 2Department of Diagnostic Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Abstract
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Leimyosarcoma of the inferior vena cava is a rare disorder and may present with symptoms of
obstruction of the normal flow of blood. We report a case of leiomyosarcoma of the inferior vena cava
in 55-year-old female patient. The tumor was discovered incidentally by ultrasonography of the abdomen
which was performed to evaluate epigastric pain and indigestion. Further radiological studies including CT
and inferior vena cavography confirmed the presence of a 5cm sized mass in the inferior vena cava . The
microscopic examination of a specimen obtained by a catheter from inferior vena cava mass revealed
malignant mesenchymal tumor. The tumor was completely resected with reconstruction of the inferior
vena cava and left renal vein. The diagnosis of leiomyosarcoma was made by micoscopic and
immunohistochemical findings of the resected tumor.