Intracaval endovascular ultrasonography for large adrenal and retroperitoneal tumors

Kikumori, Toyone; Imai, Tsuneo; Kaneko, Tetsuya; Sugimoto, Hiroyuki; Shibata, Arihiro; Hibi, Yatsuka; Nakao, Akimasa

doi:10.1016/j.surg.2003.07.013

Cited by 11 publications

(6 citation statements)

References 11 publications

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“…A literature search using PubMed yielded only two clinical studies demonstrating the utility of IVUS in the assessment of IVC involvement by tumors. Kikumori et al demonstrated the efficacy of IVUS for assessment of IVC invasion by retroperitoneal and adrenal tumors, with high sensitivity, specificity and positive predictive values . Kaneko et al reported the efficacy of IVUS for the assessment of IVC involvement in hepatic tumors .…”

Section: Discussionmentioning

confidence: 99%

Preoperative intravascular ultrasonographic evaluation of leiomyosarcoma of the inferior vena cava: A case report

Chiba

Hamamoto

Tanaka

et al. 2019

J of Clinical Ultrasound

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Leiomyosarcoma of the inferior vena cava is a rare malignant tumor originating from smooth muscle cells of the vascular media. Its preoperative diagnosis by conventional noninvasive examinations such as abdominal ultrasonography, X‐ray computed tomography, and magnetic resonance imaging, may be difficult because of their nonspecific findings. We present the case of a 72‐year‐old woman with leiomyosarcoma of the inferior vena cava diagnosed by intravascular ultrasonography.

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Section: Discussionmentioning

confidence: 99%

Preoperative intravascular ultrasonographic evaluation of leiomyosarcoma of the inferior vena cava: A case report

Chiba

Hamamoto

Tanaka

et al. 2019

J of Clinical Ultrasound

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“…In the case of lower IVC tumors (infrarenal portion), patients often present with right lower quadrant pain, back or flank pain, and leg edema (9). Tumor extension along the IVC into the right atrium may cause cardiac symptoms (6,7,10).…”

Section: Discussionmentioning

confidence: 99%

Case 257: Leiomyosarcoma of the Inferior Vena Cava

et al. 2018

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History A 65-year-old woman presented to her primary care physician with a history of progressive abdominal pain mainly in the upper quadrants, nausea, and edema in the bilateral symmetric lower extremities. Other symptoms and use of medication or related drugs were denied. Physical examination findings were normal. The serum lactate dehydrogenase level was 302 U/L (5.04 μkat/L) (reference range, <247 U/L [4.12 μkat/L]), and all other laboratory data were within normal ranges. Electrocardiography and chest radiography revealed no abnormalities. The patient underwent contrast material-enhanced (100 mL of iomeprol [400 mg iodine per milliliter], Iomeron; Bracco Imaging) CT of the chest, abdomen, and pelvis; dynamic contrast-enhanced (13 mL of gadobenate dimeglumine, Multihance; Bracco Imaging) MRI of the chest and abdomen; and transthoracic echocardiography and cavography for further evaluation.

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“…11 A predominance in women (female:male ratio = 5:1) has been reported. [5][6][7][8][9]13 Leiomyosarcoma is a slow-growing tumor, a fact that frequently delays the diagnosis and maintains patients to be asymptomatic for a long period of time. The tumor is discovered incidentally in 10.5% of patients and by autopsy in 33%.…”

Section: Discussionmentioning

confidence: 99%

“…Tumors involving the middle third have a better prognosis than upper and lower segment tumors. [3][4][5][6][7][8][9][10]16 When the middle and lower segments are involved, the absence of a paIpable mass is a good indicator of a better prognosis, probably because the tumors are small and more recent. 11 An important factor in the early diagnosis of middle segment tumors is that, at this location, painful symptoms occur earlier due to the rich innervation of adjacent organs.…”

Section: Discussionmentioning

confidence: 99%

“…The most frequent manifestations are Budd-Chiari syndrome when the tumor involves the upper segment (19.07% of patients), pain when it involves the middle portion (43.72%), and a palpable mass when it involves the lower segment (37.21%). 8,9 The most accurate examinations for the diagnosis and preoperative assessment of leiomyosarcoma of the IVC are computed tomography and magnetic resonance imaging. The diagnosis is confirmed only after the histopathological analysis of the specimen.…”

Section: Case Reportmentioning

confidence: 99%

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Leiomyosarcoma of the Inferior Vena Cava: A Case Report

et al. 2008

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Leiomyosarcoma of the inferior vena cava is an extremely rare tumor that is characterized by a poor prognosis and nonspecific symptoms, a fact that may delay the diagnosis for several years. The only therapeutic modality proven to prolong the survival of patients is total surgical resection of the tumor. In this study, the authors report the case of a 50-year-old patient with a diagnosis of leiomyosarcoma of the inferior vena cava, affecting the middle and distal thirds, who was submitted to surgical treatment.

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Intracaval endovascular ultrasonography for large adrenal and retroperitoneal tumors

Cited by 11 publications

References 11 publications

Preoperative intravascular ultrasonographic evaluation of leiomyosarcoma of the inferior vena cava: A case report

Preoperative intravascular ultrasonographic evaluation of leiomyosarcoma of the inferior vena cava: A case report

Case 257: Leiomyosarcoma of the Inferior Vena Cava

Leiomyosarcoma of the Inferior Vena Cava: A Case Report

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