Imaging of leiomyosarcoma of the inferior vena cava: comparison of 2 cases and review of the literature

Sessa, Barbara; Iannicelli, Elsa; Caterino, Salvatore; D’Angelo, Francesco; Milione, Massimo; Ziparo, Vincenzo; David, Vincenzo

doi:10.1102/1470-7330.2010.0009

Cited by 26 publications

(25 citation statements)

References 7 publications

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“…We also performed a PubMed literature search of the past 10 years by entering the search terms ‘leiomyosarcoma’ and ‘inferior vena cava’ [3, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, …”

Section: Discussionmentioning

confidence: 99%

Primary Leiomyosarcoma in the Inferior Vena Cava Extended to the Right Atrium: A Case Report and Review of the Literature

Fujita¹,

Takahashi²,

Kanzaki³

et al. 2016

Case Rep Oncol

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A 38-year-old woman had developed an abdominal distention, lower extremity edema, and dyspnea. Imaging examination revealed a large mass in the right atrium which was connected to lesions within the inferior vena cava. Although complete resection of the mass was not possible, partial surgical tumor resection was performed to avoid pulmonary embolization and circulatory collapse. Leiomyosarcoma was diagnosed histologically, and chemotherapy (doxorubicin) followed by radiotherapy was started. By reviewing papers published in the past 10 years that included 322 patients, we also discuss the clinical presentations and prognosis of leiomyosarcoma in the inferior vena cava.

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Section: Discussionmentioning

confidence: 99%

Primary Leiomyosarcoma in the Inferior Vena Cava Extended to the Right Atrium: A Case Report and Review of the Literature

Fujita¹,

Takahashi²,

Kanzaki³

et al. 2016

Case Rep Oncol

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“…Leiomyosarcoma is the most common primary malignancy involving the IVC (26). It arises from the smooth muscle cells in the vessel wall.…”

Section: Primary Ivc Leiomyosarcomamentioning

confidence: 99%

“…At imaging, the mass may appear as a heterogeneously contrast material-enhancing filling defect of the IVC that may show cystic necrosis (Fig 6). Extraluminal tumors can invade adjacent structures and should be differentiated from neoplasms arising from the surrounding organs or directly from the retroperitoneum (26). The level of IVC involvement is important because tumors involving the renal and suprarenal IVC (42%-50%) are associated with the most favorable prognosis.…”

Section: Primary Ivc Leiomyosarcomamentioning

confidence: 99%

Imaging Evaluation of the Inferior Vena Cava

Smillie¹,

Shetty²,

Boyer³

et al. 2015

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The inferior vena cava (IVC) is an essential but often overlooked structure at abdominal imaging. It is associated with a wide variety of congenital and pathologic processes and can be a source of vital information for referring clinicians. Initial evaluation of the IVC is most likely to occur at computed tomography performed for another indication. Many routine abdominal imaging protocols may result in suboptimal evaluation of the IVC; however, techniques to assist in specific evaluation of the IVC can be used. In this article, the authors review the spectrum of IVC variants and pathologic processes and the relevant findings from magnetic resonance imaging, angiography, sonography, and positron emission tomography. Embryologic development of the IVC and examples of congenital IVC variants, such as absence, duplication, left-sided location, azygous or hemiazygous continuation, and web formation, are described. The authors detail IVC involvement in Wilms tumor, leiomyosarcoma, adrenal cortical carcinoma, testicular carcinoma, hepatocellular carcinoma, renal cell carcinoma, and other neoplasms, as well as postsurgical, traumatic, and infectious entities (including filter malposition, mesocaval shunt, and septic thrombophlebitis). The implications of these entities for patient treatment and instances in which specific details should be included in the dictated radiology report are highlighted. Furthermore, the common pitfalls of IVC imaging are discussed. The information provided in this review will allow radiologists to detect and accurately characterize IVC abnormalities to guide clinical decision making and improve patient care.

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“…ve svém článku uvádějí, že 85 z 86 sarkomů dolní duté žíly, které během svého výzkumu popsali, byly leiomyosarkomy [13]. I když se jednotliví autoři liší v detailech, obecně se dá říci, že leiomyosarkom se vyskytuje častěji u žen a nejčastěji je diagnostikován v šesté dekádě života [27][28][29].…”

Section: Diskuseunclassified

Inferior vena cava leiomyosarcoma with right atrium tumorous mass presenting as heart failure in a 70-year-old man: A case report

et al. 2016

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Primární tumory srdce a dolní duté žíly jsou poměrně vzácné. Incidence primárních tumorů srdce je 0,001-0,030 %, zatímco u metastazujících tumorů je to 20krát až 40krát více. Z celkového počtu zaznamenaných primárních tumorů je jen 10 % maligních. U dolní duté žíly je situace podobná, i zde je většina tumorů pouze sekundárních. Předkládaná kasuistika popisuje případ 70letého muže s čerstvou anamnézou pobytu v rovníkové Africe přijatého pro dušnost a srdeční selhání, jemuž byla diagnostikována expanze v oblasti pravé síně a dolní duté žíly. Pro podezření na trombus byla započata antikoagulační léčba, nicméně vzhledem k dalšímu zhoršení pacientova stavu především v důsledku pravostranného srdečního selhání byla provedena chirurgická excize tumorózní hmoty. Navzdory úspěšnému odstranění tumoru však pacient na následky pravostranného srdečního selhání zemřel. V diskusi jsou rozebrány na základě soudobé literatury četnosti výskytu, možnosti léčby a prognózy uvedené diagnózy.

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Imaging of leiomyosarcoma of the inferior vena cava: comparison of 2 cases and review of the literature

Cited by 26 publications

References 7 publications

Primary Leiomyosarcoma in the Inferior Vena Cava Extended to the Right Atrium: A Case Report and Review of the Literature

Primary Leiomyosarcoma in the Inferior Vena Cava Extended to the Right Atrium: A Case Report and Review of the Literature

Imaging Evaluation of the Inferior Vena Cava

Inferior vena cava leiomyosarcoma with right atrium tumorous mass presenting as heart failure in a 70-year-old man: A case report

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