Leiomyosarcoma of the infra-renal inferior vena cava

Al-Saif, Osama; Sengupta, Bodhisatwa; Amr, Samir S.; Meshikhes, Abdul-Wahed Nasir

doi:10.1016/j.amjsurg.2010.03.021

Cited by 20 publications

(14 citation statements)

References 11 publications

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“…U okviru odgovora na prvo pitanje, pored procjene mogućnosti odvajanja tumora od vitalnih struktura, mora se donijeti valjana procjena da li bolesnik može da podnese ekstenzivan operativni zahvat. Operativni mortalitet je veliki i kreće se do 35%, a operabilnost retroperitonealnih tumora u samo četvrtini slučajeva [10].…”

Section: Diskusijaunclassified

Vaskularne intervencije kod tumora retroperitoneuma sa infiltracijom velikih krvnih sudova

Marić¹,

Radak

Maric³

et al. 2015

Biomedicinska istraž.

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Kratak sadržaj Uvod. Uspješnost izvođenja vaskularnih rekonstrukcija, naročito velikih abdominalnih i torakalnih krvnih sudova, nije promijenila stavove većine onkoloških hirurga koji smatraju da je tumorska invazija vaskularnih struk-tura relativna kontraindikacija za uklanjanje tumora. Cilj rada je pokazati da operacije retroperitonealnih tumora koji su u koliziji sa velikim krvnim sudovima imaju prihvatljiv perioperativni morbiditet i mortalitet u ranom postoperativnom toku i zadovoljavajuće udaljene rezultate. Metode. Rad predstavlja prospektivnu studiju koja obuhvata 46 bolesnika (31 muškarac) starosti između 29 i 84 godina (prosječna starost 58 godina) kod kojih je urađena resekcija i rekonstrukcija visceralnih krvnih sudova retroperitoneuma, tokom hirurške resekcije primarnih i sekundarnih tumora retroperitoneuma. Glavni rezultati mjerenja u ovoj studiji su rani (<30 dana) morbiditet i mortalitet, kasni (>30 dana) vaskularni morbiditet i mortalitet, primarna prohodnost vaskularne rekonstrukcije i preživljavanje. Rezultati. Resekcija donje šuplje vene sa rekonstrukcijom PTFE graftom izvedena је kod 4 bolesnika, а aortna resekcija sa rekonstrukcijom graftom kod 2 bolesnika. Rekonstrukcija portne vene bila je izvedena tokom resekcije neoplazmi pankreasa i neoplazme jetre u 3 bolesnika. Resekcija i rekonstruk-cija gornje mezenterične arterije kod 2 bolesnika, zajedničke ilijačne arterije kod 2, zajedničke ilijačne vene u 3 bolesnika. Lijenalna, femoralna i donja mezenterična arterija rekonstruisane su kod 3 bolesnika. Tridesetodnevni mortalitet bio je 8,7% (4 bolesnika). Opšti tridesetodnevni morbiditet bio je 17,39%, dok rani vaskularni morbiditet uključuje krvarenje na arterijskoj ili venskoj anastomozi kod 2 bolesnika i ranu trombozu vaskularnog grafta kod 2 bolesnika. Primarna prohodnost vaskularne rekonstrukcije za 12 mjeseci bila je 80%, a preživljavanje 56,5%. Tokom perioda praćenja 26 bolesnika je bilo živo, bez recidiva osnovne bolesti. Kumulativna stopa preživljavanja bila je 64,3% i 48,2% za 1 i 3 godine. Zaključak. Istovremene rekonstruktivne vaskularne procedure dozvoljavaju resekciju tumora koji zahvataju vaskularne strukture sa prihvatljivim ranim i kasnim morbiditetom i mortalitetom. Ključne riječi: retroperitonealni tumor, tumorska invazija, krvni sudovi, vaskularna rekonstrukcija Adresa autora: Doc. dr Radmil Marić Studentska 7 b 73300 Foča rmaricr@yahoo.com

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Section: Diskusijaunclassified

Vaskularne intervencije kod tumora retroperitoneuma sa infiltracijom velikih krvnih sudova

Marić¹,

Radak

Maric³

et al. 2015

Biomedicinska istraž.

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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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“…On the other hand, graft replacement avoids complications of IVC ligation like DVT, ascites, lower extremity edema, and renal dysfunction. [12] Other authors have also suggested that when the IVC ligation rather than reconstruction is performed, thrombus may form in the blind portion of the IVC and may even extend above the hepatic vein, resulting in Budd-Chiari syndrome. [13] Therefore, it is recommended that an incompletely occluded IVC with insufficient collateralization should be replaced with a prosthesis, whereas a completely occluded IVC that does not involve renal veins inflows and which is richly collateralized can be ligated without functional impairment.…”

Section: Treatmentmentioning

confidence: 99%

“…[16] radiation therapy may have some beneficial effects, such as improving local control. Furthermore, some reports have suggested that radical resection followed by adjuvant chemotherapy should be considered as the optimal therapeutic strategy, [12,24] and others have advocated the possible role of radiotherapy. [15,16,23] However, all of these recommendations need further confirmation since the results may vary according to the individuals involved in the case.…”

Section: Treatmentmentioning

confidence: 99%

“…Another helpful diagnostic tool is cavography, which can detect a filling defect or compression and deviation of the IVC due to intraluminal or extraluminal growth. [12] It is also useful for locating tumors with intraluminal growth because it is possible to perform a transluminal biopsy via this type of angiography. The use of cavography is also important in cases of IVC occlusion in order to demonstrate collateral flow and plan the appropriate surgical strategy.…”

Section: Diagnosismentioning

confidence: 99%

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Diagnosis and management of inferior vena cava leiomyosarcoma: review of the literature with a case presentation

Hidiroğlu¹

2013

Turk Gogus Kalp Dama

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İnferior vena kava (İVK) leiomyosarkomu, nadir görülen bir hastalıktır. Bu nadir tümörün en iyi tedavisi, tümö-rün tamamen cerrahi rezeksiyonu ve dolayısıyla venöz rekonstrüksiyon ihtiyacı doğuran İVK'nin rezeksiyonudur. Rezeksiyon sonrası İVK'nin bağlanması veya primer onarım, yama ile onarım veya sentetik ya da biyolojik materyallerle tüp greft konulması gibi farklı rekonstrüksiyon yön-temleri mevcuttur. İnferior vena kava leiomyosarkomlarına ilişkin mevcut bilgiler olgu sunumları ve küçük olgu serilerine ait olduğu için, olgu sunumlarının bildirilmesi önem-lidir. Bu yazıda, İVK leiomyosarkomu olan ve Dacron tüp greft ile rekonstrüksiyon uygulanan 69 yaşında kadın bir olgu, İVK leiomyosarkomalarının tanıdan tedaviye klinik özellikleri, literatür verileri eşliğinde incelenerek sunuldu.Anah tar söz cük ler: İnferior vena kava; leiomyosarkom; vasküler tümör.Inferior vena cava (IVC) leiomyosarcoma is a rare clinical entity. The best treatment for this rare tumor is complete surgical resection of the tumor and consequently resection of IVC leading to the need for venous reconstruction. Ligation of IVC after resection or reconstruction including primary repair, patch repair or tube grafting with synthetic or biological materials are available. As the current knowledge of IVC sarcomas is based primarily on case reports and small case series, it is of utmost importance to report individual cases. In this article, we report a 69-yearold female with IVC leiomyosarcoma who underwent reconstruction with a Dacron tube graft in the light of clinical characteristics of the disease from diagnosis to treatment along with a detailed review of the literature data.

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Leiomyosarcoma of the infra-renal inferior vena cava

Cited by 20 publications

References 11 publications

Vaskularne intervencije kod tumora retroperitoneuma sa infiltracijom velikih krvnih sudova

Vaskularne intervencije kod tumora retroperitoneuma sa infiltracijom velikih krvnih sudova

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

Diagnosis and management of inferior vena cava leiomyosarcoma: review of the literature with a case presentation

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