Leiomyosarcoma of the inferior vena cava. Resection and reconstruction of the renal vein using the gonadal vein

Yamaguchi, Ryuzo; Yamaguchi, Akihiro; Isogai, Masatoshi; Hori, Akihiro; Kin, Yukoh

doi:10.1007/s005950050141

Cited by 14 publications

(8 citation statements)

References 4 publications

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“…3 Radical resection of middle and lower segment tumors is performed most often. 4 The majority of patients with leiomyosarcoma are women, with a reported male to female ratio of 1 : 5 to 1 : 6. [5][6][7] No series has found age or gender to be predictive factors of survival.…”

Section: Discussionmentioning

confidence: 99%

Leiomyosarcoma of the Inferior Vena Cava: Report of a Case

et al. 2004

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We report a case of leiomyosarcoma of the inferior vena cava, which was successfully treated by surgical en bloc resection and reconstruction of the inferior vena cava, followed by adjuvant radiation therapy. A 39-year-old man presented with nausea, vomiting, epigastric pain, and weight loss. Radiologic examinations showed a mass originating from the inferior vena cava and surgical resection was performed. Histopathological examination of the specimen revealed a moderately differentiated (grade II) leiomyosarcoma arising from the inferior vena cava. We believe that radical resection with clear surgical margins followed by adjuvant radiation therapy is a good curative strategy for achieving any chance of long-term survival.

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Section: Discussionmentioning

confidence: 99%

Leiomyosarcoma of the Inferior Vena Cava: Report of a Case

et al. 2004

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“…The mitotic rate was up to Furthermore, this problem can extend to whether the adjacent kidney should be preserved or sacrificed. Several case reports have described IVC reconstruction with preservation of the adjacent kidney using various surgical approaches to resect IVC tumor involving renal vein (Table 1) [3][4][5][6][7][8][9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

The surgical approach for the inferior vena cava leiomyosarcoma including the confluence of right renal vein: A case report of patch venoplasty with right renal vein reimplantation after complete tumor resection

Cho¹,

Lee²,

Park³

et al. 2016

Korean J Clin Oncol

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using the patch cavoplasty technique with cryopreserved cadaveric vein graft and right renal vein reimplantation instead of kidney autotransplantation. To our knowledge, there are no published reports of this unique reconstruction method. CASE REPORT A 51-year-old woman without major medical history was admitted for surgical treatment of IVC mass. The mass was detected by computed tomography (CT), during a routine checkup. The patient did not show any symptoms. Subsequent to CT, we used magnetic resonance cholangiopancreatography (Fig. 1). The mass began from the inferior hepatic IVC and extended below the right renal vein. The mass showed concave border with anterior side of IVC, rather than compressed IVC; hence, the diagnosis was leiomyosarcoma originated from the wall of IVC. The patient underwent surgery in January 2016. After a long midline incision, the IVC was exposed by Kocher maneuver and

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“…Surgical resection is the current standard of care in the treatment of IVC leiomyosarcoma and is dictated by the location of the tumor and the surrounding structures involved. A number of case reports have presented a variety of surgical approaches to resection of these tumors, with emphasis placed on radical resection in order to provide an opportunity for disease-free survival (Table I) [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. To our knowledge, only one case report has described renal autotransplantation, and no case reports have described hepatic autotransplantation [15].…”

Section: Discussionmentioning

confidence: 99%

“…The inferior vena cava (IVC) is the most common site of leiomyosarcomas arising from a vascular origin [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. These tumors are slow to progress and often very advanced once patients present with nonspecific symptoms posing difficult surgical challenges due to their size and extensive regional involvement.…”

Section: Introductionmentioning

confidence: 99%

Inferior vena cava reconstruction for leiomyosarcoma of zone I–III requiring complete hepatectomy and bilateral nephrectomy with autotransplantation

Fernandez

Kim

Anthony

et al. 2015

Journal of Surgical Oncology

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The inferior vena cava (IVC) is the most common site of leiomyosarcomas arising from a vascular origin. Leiomyosarcomas of the IVC are categorized by anatomical location. Zone I refers to the infrarenal portion of the IVC, Zone II from the hepatic veins to the renal veins, and Zone III from the right atrium to the hepatic veins. This is a rare presentation of a Zone I-III leiomyosarcoma. Fifty-two-years-old female with a medical history significant only for HTN was admitted to the hospital with bilateral lower extremity edema and dyspnea. Two-dimensional echo demonstrated a right atrial thrombus, extending into the IVC. On subsequent CT and MRI, a 15 cm mass was noted that began in the right atrium and extended into the IVC, with continuation below the renal veins to above the level of the confluence of the common iliac veins. The patient underwent a complete resection of the mass, replacement of the IVC with Dacron graft, total hepatectomy and bilateral nephrectomy, with liver and kidney autotransplantation. Pathology was consistent with a high grade spindle cell sarcoma of vena cava origin. Patient was readmitted approximately 4 weeks postoperatively to begin adjuvant chemotherapy. This case represents a zone I-III IVC leiomyosarcoma treated with surgical R0 resection. This included a hepatectomy, bilateral nephrectomy, and hepatic and left renal autotransplantation. These complex tumors should be treated with surgical resection, and require a multidisciplinary approach.

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Leiomyosarcoma of the inferior vena cava. Resection and reconstruction of the renal vein using the gonadal vein

Cited by 14 publications

References 4 publications

Leiomyosarcoma of the Inferior Vena Cava: Report of a Case

Leiomyosarcoma of the Inferior Vena Cava: Report of a Case

The surgical approach for the inferior vena cava leiomyosarcoma including the confluence of right renal vein: A case report of patch venoplasty with right renal vein reimplantation after complete tumor resection

Inferior vena cava reconstruction for leiomyosarcoma of zone I–III requiring complete hepatectomy and bilateral nephrectomy with autotransplantation

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