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D'Amone G, Cirimele V, Rossi SM, Ciolli A, Bitonti MT, Stiffi M, Ricci M, Baldazzi D, Ferrari U, Zobel BB, Faiella E. Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case report. Radiol Case Rep 2024; 19:468-472. [PMID: 38046913 PMCID: PMC10692464 DOI: 10.1016/j.radcr.2023.10.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 10/29/2023] [Indexed: 12/05/2023] Open
Abstract
Leiomyosarcoma (LMS) is a rare malignant tumor originating from smooth muscle cells. Primary leiomyosarcomas arising from vessels' walls are extremely rare (2%), with LMS of inferior vena cava being the most frequent subtype. We present the case of a 45-year-old man with a past medical history of resected leiomyosarcoma of the right calf, presenting with a follow-up CT showing a retroperitoneal mass arising from the inferior vena cava, which proved to be IVC leiomyosarcoma at histopathology. The patient underwent surgical resection of the mass with prosthetic reconstruction of the IVC. Three days after surgery he developed complete thrombosis of IVC graft which persisted at 3-months follow-up imaging and was treated with pharmacological therapy. Although there are many references reporting the association between LMS of the inferior vena cava and postoperative deep vein thrombosis, to our knowledge there are no reports currently available regarding complete thrombosis of IVC vascular graft after surgical resection of IVC LMS.
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Affiliation(s)
- Giulia D'Amone
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Vincenzo Cirimele
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Silvia Maria Rossi
- Department of Human Pathology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Alessandro Ciolli
- Division of Vascular Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Maria Teresa Bitonti
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Massimo Stiffi
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Milena Ricci
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Dalila Baldazzi
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Ugo Ferrari
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Bruno Beomonte Zobel
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
| | - Eliodoro Faiella
- Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy
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Tulahong A, Tuxun T, Yao G, Fulati X, Apaer S, Anweier N, Wu J, Aierken A, Zhao JM, Bai L, Li T. Surgical management strategy for leiomyosarcoma of Zone I-II inferior vena cava: A case series. Medicine (Baltimore) 2022; 101:e29326. [PMID: 35665732 PMCID: PMC9276320 DOI: 10.1097/md.0000000000029326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 04/01/2022] [Indexed: 01/04/2023] Open
Abstract
OBJECTIVES Leiomyosarcoma of inferior vena cava (IVC) is a rare clinical entity with severe vascular involvement. Surgical management of leiomyosarcoma is still challenging. METHODS This a retrospective study of consecutive patients referred to our hospital from January 2017 to June 2019. Depending on the anatomical site of affected IVC, leiomyosarcomas were categorized into zone I-II. The clinical data including baseline information, surgical parameters, peri-operative management, short- and mid-term outcomes were observed. RESULTS Four patients with leiomyosarcoma of zone I-III underwent radical resection without intraoperative mortality. Prosthetic grafts were interpositioned in all patients to instruct vena cava. Renal vein reconstruction was perfumed in two patients due to involvement to renal veins. Median blood loss was 450 mL (200-600 mL), median operative time was 215 minutes (150-240 minutes). No Clavien-Dindo IIIa or higher complication was observed. No organ dysfunction and recurrence were observed with median follow-up of 25.5 months. CONCLUSIONS Curative resection of zone I-II leiomyosarcoma is associated with longer survival in selected cases, en-bloc resection with complex vascular reconstruction could be considered.
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Affiliation(s)
- Aisikeer Tulahong
- 2nd Oncology Department, Center of Oncology, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Tuerhongjiang Tuxun
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Gang Yao
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Xiapukati Fulati
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Shadike Apaer
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Nuerzhatijiang Anweier
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Jing Wu
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Amina Aierken
- Center of Health Management, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Jin-Ming Zhao
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Lei Bai
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
| | - Tao Li
- Department of Liver & Laparoscopic Surgery, Center of Organ Transplantation, 1st Affiliated Hospital of Xinjiang Medical University, Urumqi
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Pan J, Qiu CY, He YY, Xue X, Li DL, Tian L, Cheng F, Wu ZH, Zhang HK. A 10-year experience of leiomyosarcoma of the inferior vena cava. Phlebology 2022; 37:572-578. [PMID: 35570826 DOI: 10.1177/02683555221101706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Leiomyosarcoma of the inferior vena cava (IVC) is rare. The study reviewed patients with IVC leiomyosarcoma in our hospital in the past ten years. METHODS Twenty patients diagnosed with IVC leiomyosarcoma between October 2010 and October 2020 were enrolled. Their clinical manifestations, treatments, and follow-up results were analyzed. RESULTS The sarcoma was located in the lower IVC segment in six patients, with 13 in the middle and one in the upper IVC segment. Eighteen patients underwent R0 resection. After resection, 16 patients (80%) had primary repair of the IVC, while four patients underwent ligation. During a mean follow-up of 37.7 months, seven patients died due to tumor metastasis, four patients were alive with the tumor recurrence and other nine patients were alive without recurrence. CONCLUSION The management of the IVC after tumor resection depended on the tumor location and size. R0 resection provided a chance for long term survival.
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Affiliation(s)
- Jun Pan
- Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
| | - Chen-Yang Qiu
- Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
| | - Yang-Yan He
- Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
| | - Xing Xue
- Department of Radiology, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
| | - Dong-Lin Li
- Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
| | - Lu Tian
- Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
| | - Fei Cheng
- Department of Pathology, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
| | - Zi-Heng Wu
- Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
| | - Hong-Kun Zhang
- Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, 71069Zhejiang University, Hangzhou, People's Republic of China
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Petitjean M, Kashi-Dakhil M, Hachemane S, Dakhil B, Zaimi R, Bagan P. [Leiomyosarcoma and angiomyomatous hamartoma: An hasardous association?]. Bull Cancer 2020; 107:1081-1084. [PMID: 32950243 DOI: 10.1016/j.bulcan.2020.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 06/03/2020] [Accepted: 07/03/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Margaux Petitjean
- Hôpital Victor-Dupouy, service de chirurgie thoracique et vasculaire, 69, rue du lieutenant-colonel Prudhon, bâtiment Madeleine Brès, 95107 Argenteuil, France.
| | - Mahine Kashi-Dakhil
- Hôpital Victor-Dupouy, service de chirurgie thoracique et vasculaire, 69, rue du lieutenant-colonel Prudhon, bâtiment Madeleine Brès, 95107 Argenteuil, France
| | - Samia Hachemane
- Hôpital Victor-Dupouy, service d'anatomopathologie, 69, rue du lieutenant-colonel Prudhon, 95107 Argenteuil, France
| | - Bassel Dakhil
- Hôpital Victor-Dupouy, service de chirurgie thoracique et vasculaire, 69, rue du lieutenant-colonel Prudhon, bâtiment Madeleine Brès, 95107 Argenteuil, France
| | - Rym Zaimi
- Hôpital Victor-Dupouy, service de chirurgie thoracique et vasculaire, 69, rue du lieutenant-colonel Prudhon, bâtiment Madeleine Brès, 95107 Argenteuil, France
| | - Patrick Bagan
- Hôpital Victor-Dupouy, service de chirurgie thoracique et vasculaire, 69, rue du lieutenant-colonel Prudhon, bâtiment Madeleine Brès, 95107 Argenteuil, France
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