Leiomyosarcoma of the retrohepatic vena cava: Report of a case treated with resection and reconstruction with polytetrafluoroethylene vascular graft

Abstract

Leiomyosarcoma of the vena cava is a rare malignant tumor. A 61-year-old woman was admitted with right upper quadrant abdominal pain. Computed tomography revealed a retrohepatic vena cava tumor originating 2 cm below the confluence of the hepaic veins and ending 2 cm above the renal veins. The tumor was resected with 1 cm clear surgical margins, without requiring liver resection. Polytetrafluoroethylene vascular graft was used for reconstruction of the vena cava. Now 32 months postoperatively, there has been no recurrence or metastasis. Radical resection with negative surgical margins is the best curative therapy for leiomyosarcoma. Polytetrafluoroethylene vascular graft can be used in extensive tumors located at the vena cava.

Reconstruction of the left diaphragmic cupola using titanium nickelide metallic knitted mesh after combination resection due to leiomyosarcoma

“…По данным ряда авторов, частота встречаемости данных опухолей в структуре всех мягкотканных сарком разнится и может достигать 25 % [1][2][3]. В зависимости от локализации лейомиосаркомы делят на 4 группы: внутрибрюшные (40-45 % случаев), с поражением мягких тканей конечностей (30-35 % случаев), кожи (15-20 % случаев) и стенки сосуда (не превышает 2-5 % случаев) [4]. До настоящего момента основным методом радикального лечения данной патологии является хирургическое вмешательство, что обусловлено относительной резистентностью опухоли к химиолучевой терапии.…”

Comment: Leiomyosarcoma of the retrohepatic vena cava: Report of a case treated with resection and reconstruction with polytetrafluoroethylene vascular graft

“…To the Editor, We read with interest the paper titled ''Leiomyosarcoma of the retrohepatic vena cava: Report of a case treated with resection and reconstruction with polytetrafluoroethylene vascular graft'' by Yankol et al (1). In this case report, the authors describe a successful treatment of a retrohepatic vena cava leiomyosarcoma with resection and polytetrafluoroethylene vascular graft reconstruction.…”