1982
DOI: 10.1148/radiology.145.1.7122904
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Computed tomography of leiomyosarcoma of the inferior vena cava.

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Cited by 25 publications
(21 citation statements)
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“…As the leiomyosarcomas of the inferior vena cava grow, they eventually invade adjacent tissues and metastasize distantly; however, they tend to expand along the tissue plans of least resistance. There are no reported cases of tissue invasion of the adrenals, kidneys or bowels for leiomyosarcomas of the inferior vena cava (7). Like other retroperitoneal tumors, these tumors seldom present with symptoms until they progress into a huge mass.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…As the leiomyosarcomas of the inferior vena cava grow, they eventually invade adjacent tissues and metastasize distantly; however, they tend to expand along the tissue plans of least resistance. There are no reported cases of tissue invasion of the adrenals, kidneys or bowels for leiomyosarcomas of the inferior vena cava (7). Like other retroperitoneal tumors, these tumors seldom present with symptoms until they progress into a huge mass.…”
Section: Discussionmentioning
confidence: 99%
“…The use of CT is superior to the use of sonography to reveal the highly enhancing and necrotic characteristics of the tumor, which is specific for the diagnosis of leiomyosarcoma (7). When CT shows a solid or necrotic extraluminal retroperitoneal mass not originating from a retroperitoneal organ, and possessing a contiguous intravascular enhancing appearance, it is accepted as a pathognomonic finding of vascular leiomyosarcoma (6).…”
Section: Discussionmentioning
confidence: 99%
“…Typically, these tumors are large solid masses with extensive areas of necrosis. Their relationship to vessel may be primarily exophytic, primarily intraluminal, or a combination of both [2][3][4]. This last pattern of growth, exophytic and intraluminal, is uncharacteristic of the other retroperitoneal tumors; therefore, demonstration of this pattern is highly suggestive of leiomyosarcoma [2].…”
Section: Discussionmentioning
confidence: 99%
“…Although CT and ultrasound aid in earlier recognition of retroperitoneal tumors [3][4][5][6][7][8][9] (which traditionally were discovered very late in their course or at autopsy), there remain limitations in diagnosis and pre-operative evaluation with these modalities. The distinct advantages of MRI have been described [2,3,10,11], including the capability of multiplanar imaging and assessment of vessel patency using flow-void and/or flow enhancement properties.…”
Section: Discussionmentioning
confidence: 99%
“…However, in cases with a hypovascular tumor in the upper part of the abdomen, leiomyosarcoma of the inferior vena cava should be considered, especially if the tumor proves to be solid at ultrasonography (10). Computed tomography offers good delineation of tumors in the region of the inferior vena cava, but even with CT it may be difficult to decide the true origin of the tumor (5, 8,15,20). At ultrasonography the upper V3 of the inferior vena cava are almost always well demonstrated, while the lower V3 is often obscured by bowel gas.…”
Section: Discussionmentioning
confidence: 99%