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[Leiomyosarcoma of the great veins: a case involving the left iliac vein extending to the inferior vena cava].
Phlebologie. 1993 Jul-Sep; 46(3):501-5.P

Abstract

Large veins LMS is a rare slow growing malignant tumor originating from smooth muscle cells of the media. The authors report a case of LMS of the left common iliac vein propagating to the Inferior Vena Cava that presented with a left femoral-iliac deep thrombophlebitis. CT scan showed an uneven solid mass approximately 5 cm large within the left side of the pelvis. The mass displaced the left iliac artery and compressed the left iliac vein without a significant cleavage surface between the mass itself and the vascular structures. Location was next to the spine, medially and anteriorily to the psoas muscle. A thrombosis could be noticed within the distal segment of the inferior Vena Cava and within the proximal segment of the left iliac vein. US scan with fine needle biopsy of the mass didn't yield significant information. At surgical exploration a neoplastic mass involving and blocking the left iliac vein was found. Veinotomy performed on the iliac vein and on the distal segment of the Inferior Vena Cava but without infiltration of the vein walls. Surgical treatment consisted of asportation of the neoplastic mass, resection of the left iliac vein and thrombectomy of the Inferior Vena Cava. Histologic examination of the operated specimen revealed a mixoid LMS with vascular origin without involvement of the surrounding lymph nodes. Absence of clinical and radiological signs of relapse eight months after surgery makes further surgical and complementary (drug- and radiotherapy) treatments currently unnecessary.

Authors+Show Affiliations

Biasi G
Service de chirurgie vasculaire, Hôpital Santa-Maria-de-la-Misericordia, Udine, Italie.
Gonano N
No affiliation info available
Santarelli R
No affiliation info available
Fregonese V
No affiliation info available
Andolfato G
No affiliation info available
Pfeiffer P
No affiliation info available
Nozzon L
No affiliation info available

MeSH

AgedBiopsy, NeedleFemaleFemoral VeinHumansIliac VeinLeiomyosarcomaMagnetic Resonance ImagingSoft Tissue NeoplasmsThrombectomyThrombophlebitisTomography, X-Ray ComputedVascular DiseasesVena Cava, Inferior

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

8248317

Citation

Biasi, G, et al. "[Leiomyosarcoma of the Great Veins: a Case Involving the Left Iliac Vein Extending to the Inferior Vena Cava]." Phlebologie, vol. 46, no. 3, 1993, pp. 501-5.
Biasi G, Gonano N, Santarelli R, et al. [Leiomyosarcoma of the great veins: a case involving the left iliac vein extending to the inferior vena cava]. Phlebologie. 1993;46(3):501-5.
Biasi, G., Gonano, N., Santarelli, R., Fregonese, V., Andolfato, G., Pfeiffer, P., & Nozzon, L. (1993). [Leiomyosarcoma of the great veins: a case involving the left iliac vein extending to the inferior vena cava]. Phlebologie, 46(3), 501-5.
Biasi G, et al. [Leiomyosarcoma of the Great Veins: a Case Involving the Left Iliac Vein Extending to the Inferior Vena Cava]. Phlebologie. 1993 Jul-Sep;46(3):501-5. PubMed PMID: 8248317.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Leiomyosarcoma of the great veins: a case involving the left iliac vein extending to the inferior vena cava]. AU - Biasi,G, AU - Gonano,N, AU - Santarelli,R, AU - Fregonese,V, AU - Andolfato,G, AU - Pfeiffer,P, AU - Nozzon,L, PY - 1993/7/1/pubmed PY - 1993/7/1/medline PY - 1993/7/1/entrez SP - 501 EP - 5 JF - Phlebologie JO - Phlebologie VL - 46 IS - 3 N2 - Large veins LMS is a rare slow growing malignant tumor originating from smooth muscle cells of the media. The authors report a case of LMS of the left common iliac vein propagating to the Inferior Vena Cava that presented with a left femoral-iliac deep thrombophlebitis. CT scan showed an uneven solid mass approximately 5 cm large within the left side of the pelvis. The mass displaced the left iliac artery and compressed the left iliac vein without a significant cleavage surface between the mass itself and the vascular structures. Location was next to the spine, medially and anteriorily to the psoas muscle. A thrombosis could be noticed within the distal segment of the inferior Vena Cava and within the proximal segment of the left iliac vein. US scan with fine needle biopsy of the mass didn't yield significant information. At surgical exploration a neoplastic mass involving and blocking the left iliac vein was found. Veinotomy performed on the iliac vein and on the distal segment of the Inferior Vena Cava but without infiltration of the vein walls. Surgical treatment consisted of asportation of the neoplastic mass, resection of the left iliac vein and thrombectomy of the Inferior Vena Cava. Histologic examination of the operated specimen revealed a mixoid LMS with vascular origin without involvement of the surrounding lymph nodes. Absence of clinical and radiological signs of relapse eight months after surgery makes further surgical and complementary (drug- and radiotherapy) treatments currently unnecessary. SN - 0031-8280 UR - https://www.unboundmedicine.com/medline/citation/8248317/[Leiomyosarcoma_of_the_great_veins:_a_case_involving_the_left_iliac_vein_extending_to_the_inferior_vena_cava]_ L2 - http://www.diseaseinfosearch.org/result/4165 DB - PRIME DP - Unbound Medicine ER -