J Korean Radiol Soc.  2008 Oct;59(4):265-268. 10.3348/jkrs.2008.59.4.265.

Rectal Cancer Presenting Tumor Thrombosis in the Inferior Vena Cava and Common Iliac Vein: Case Report

Affiliations
  • 1Department of Radiology, Soonchunhyang University Hospital Bucheon, Korea. indawn@hanafos.com
  • 2Department of Internal Medicine, Soonchunhyang University Hospital Bucheon, Korea.
  • 3Department of Pathology, Soonchunhyang University Hospital Bucheon, Korea.
  • 4Department of Nuclear Medicine, Soonchunhyang University Hospital Bucheon, Korea.

Abstract

We report the radiologic findings of a rectal carcinoma case with tumor thrombus in the inferior vena cava and left common iliac vein of a 48-year-old woman. The patient complained of swelling in the left leg and consequently underwent a lymphoscintigraphy, CT venography, abdominal CT, PET-CT, pelvis MRI, and ultrasound doppler. The rectal cancer was determined via a colonoscopy. The tissue biopsy of tumor thrombus in the IVC was done during insertion of IVC filter and poorly differentiated adenocarcinoma was revealed by pathology.

Keyword

Colorectal cancer; Computed tomography, X-Ray; Magnetic resonance (MR); Vein, iliac; Vena cava, inferior

MeSH Terms

Adenocarcinoma
Biopsy
Colonoscopy
Colorectal Neoplasms
Female
Humans
Iliac Vein
Leg
Lymphoscintigraphy
Middle Aged
Pelvis
Phlebography
Rectal Neoplasms
Thrombosis
Tomography, X-Ray Computed
Vena Cava, Inferior
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