Resection of Primary Renal Leiomyosarcoma Involving the Inferior Vena Cava (IVC) with IVC Resection and Reconstruction

Alshawwa, Khaled; Hijazi, Jamal; Jaber, B.; AlHassan, Haitham; Abu-Amer, Thaer; Salahaldeen, Riyad; Abu-Zaydeh, Omar; Haddad, Riad

doi:10.1155/2022/6037890

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…In some rare cases, reconstruction of the resected IVC is not necessary because the collateral circulation is adequate due to chronic complete obstruction ( 23 , 25 ). For other rare retroperitoneal tumors, similar IVC reconstruction procedures have been performed for leiomyosarcoma on a case-by-case basis ( 5 , 26 , 27 ).…”

Section: Discussionmentioning

confidence: 99%

Resection and reconstruction of the largest abdominal vein system (the inferior vena cava, hepatic, and portal vein): a narrative review

Kaneko,

Hayashi,

Kazami

et al. 2024

Transl Gastroenterol Hepatol

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Background and Objective As tumors invade major abdominal veins, surgical procedures are transformed from simple and basic to complicated and challenging. In this narrative review, we focus on what is currently known and not known regarding the technical aspects of major abdominal venous resection and its reconstruction, patency, and oncologic benefit in a cross-cutting perspective. Methods A systematic literature search was performed in PubMed and Semantic Scholar from inception up to October 18, 2023. We reviewed 106 papers by title, abstract, and full text regarding resection or reconstruction of the inferior vena cava, hepatic vein confluence, portal vein (PV), and middle hepatic vein (MHV) tributaries in living donor liver transplantation (LDLT) in a cross-cutting perspective. Key Content and Findings The oncologic benefit of aggressive hepatic vein resection with suitable reconstruction against adenocarcinoma remains unclear, and further studies are required to clarify this point. A superior mesenteric/PV resection is now a universal, indispensable, and effective procedure for pancreatic ductal adenocarcinoma. Although many case series using tailor-made autologous venous grafts have been reported, not only size mismatch but also additional surgical incisions and a longer operation time remain obstacles for venous reconstruction. The use of autologous alternative tissue remains only an alternative procedure because the patency rate of customized tubular conduit type to interpose or replace the resected vein is not known. Unlike arterial replacement, venous replacement using synthetic vascular grafts is still rarely reported and there are several inherent limitations except for reconstruction of tributaries of MHV in LDLT. Conclusions Various approaches to abdominal vein resection and replacement or reconstruction are technically feasible with satisfactory results. Synthetic vascular grafts may be appropriate but have a certain rate of complications.

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Section: Discussionmentioning

confidence: 99%

Resection and reconstruction of the largest abdominal vein system (the inferior vena cava, hepatic, and portal vein): a narrative review

Kaneko,

Hayashi,

Kazami

et al. 2024

Transl Gastroenterol Hepatol

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show abstract

“…Currently, the treatment of leiomyosarcoma still primarily involves surgical excision [17], removing the tumor visible to the naked eye, ensuring that the margins are pathologically negative intraoperatively, and then expanding the excision to include more than 2 cm of normal tissue [18]. Late-stage tumors have a higher degree of malignancy, with a short disease-free survival period, typically between 6 to 24 months [19], and surgery is di cult to achieve complete removal, so radiotherapy may be added before or after surgery [20].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of primary intracranial and extracranial communicating leiomyosarcoma: a case report

Pu,

Wang,

et al. 2024

Preprint

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Background: Primary intracranial-extracranial communicating leiomyosarcomas, capable of invading both the intracranial and extracranial regions and involving complex anatomical structures, are exceedingly rare neoplasms. Case presentation: A 37-year-old male patient who initially presented with a subcutaneous mass on the left frontal vertex. Following surgical intervention, a recurrent lump appeared on the left frontotemporal vertex. Symptoms, computed tomography (CT), and magnetic resonance imaging (MRI) revealed a lump on the left frontal vertex accompanied by an irregular abnormal lesion. On both occasions, the diagnosis of leiomyosarcoma was confirmed. The patient underwent leiomyosarcoma excision under general anesthesia. Recurrence of the leiomyosarcoma occurred 2 years and 4 months post-surgery, necessitating an expanded excision of the lesion. After 2 years of follow-up, no significant complications were observed, and the patient's condition remains stable. Conclusion: Primary extracranial communicating leiomyosarcoma is an exceptionally rare entity, with surgery currently serving as the primary treatment modality. The decision to excise the lesion should be based on the patient’s age, tumor location, pathological features, and the presence of distant metastases.

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“…Currently, the treatment of leiomyosarcoma still primarily involves surgical excision [17], removing the tumor visible to the naked eye, ensuring that the margins are pathologically negative intraoperatively, and then expanding the excision to include more than 2 cm of normal tissue [18]. Late-stage tumors have a higher degree of malignancy, with a short disease-free survival period, typically between 6 to 24 months [19], and surgery is difficult to achieve complete removal, so radiotherapy may be added before or after surgery [20].…”

Section: Discussionmentioning

confidence: 99%

Surgical management of primary leiomyosarcoma with intracranial and extracranial extension: a case report

Pu,

Wang,

et al. 2024

Preprint

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Background Primary intracranial-extracranial communicating leiomyosarcomas, which invade both intracranial and extracranial regions and involve complex anatomical structures, are extremely rare tumors. Case presentation: A 37-year-old male initially exhibited a subcutaneous mass on the left frontal vertex. Post-surgical resection, a recurrent mass manifested at the left frontotemporal vertex. Computed tomography (CT), and magnetic resonance imaging (MRI) revealed a lump on the left frontal vertex accompanied by an irregular abnormal lesion, and the diagnosis of leiomyosarcoma was confirmed. The patient underwent leiomyosarcoma excision under general anesthesia. The tumor recurred after 2 years and 4 months, leading to a more extensive surgical excision. Following a 2-year follow-up, the patient showed no major complications and maintained a stable condition. Conclusion Primary intracranial-extracranial communicating leiomyosarcoma is a rare condition. Surgical removal is the main therapeutic approach. The decision for lesion excision should consider factors such as the patient’s age, tumor location, pathological characteristics, and any distant metastasis.

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Resection of Primary Renal Leiomyosarcoma Involving the Inferior Vena Cava (IVC) with IVC Resection and Reconstruction

Cited by 3 publications

References 8 publications

Resection and reconstruction of the largest abdominal vein system (the inferior vena cava, hepatic, and portal vein): a narrative review

Resection and reconstruction of the largest abdominal vein system (the inferior vena cava, hepatic, and portal vein): a narrative review

Surgical treatment of primary intracranial and extracranial communicating leiomyosarcoma: a case report

Surgical management of primary leiomyosarcoma with intracranial and extracranial extension: a case report

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