A case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cava

A woman in her early 50s was admitted to our hospital with a right retroperitoneal tumor that had been detected >1 year ago. Imaging studies revealed a mass in the right middle and lower retroperitoneum, which involved the upper portion of the right fallopian tube and caused dilated hydronephrosi...

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Main Authors: Chengbin Lu, Leyu Zhang, Benmo Xu, Tianyu Li, Die Fan, Changyang Li, Yuanlong Shi, Xin Li, Bin Zhao
Format: Article
Language:English
Published: SAGE Publishing 2025-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605251364059
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author Chengbin Lu
Leyu Zhang
Benmo Xu
Tianyu Li
Die Fan
Changyang Li
Yuanlong Shi
Xin Li
Bin Zhao
author_facet Chengbin Lu
Leyu Zhang
Benmo Xu
Tianyu Li
Die Fan
Changyang Li
Yuanlong Shi
Xin Li
Bin Zhao
author_sort Chengbin Lu
collection DOAJ
description A woman in her early 50s was admitted to our hospital with a right retroperitoneal tumor that had been detected >1 year ago. Imaging studies revealed a mass in the right middle and lower retroperitoneum, which involved the upper portion of the right fallopian tube and caused dilated hydronephrosis of the right renal pelvis and calyces. Initial diagnosis suggested benign intraventricular smooth muscle neoplasia. She underwent surgical resection of the right retroperitoneal tumor, along with thrombectomy of the right renal vein and inferior vena cava, as well as artificial revascularization of the right renal vein. Postoperative pathology confirmed retroperitoneal smooth muscle sarcoma. She received postoperative chemotherapy with ifosfamide and doxorubicin as well as anticoagulation therapy with rivaroxaban. One year later, follow-up imaging revealed multiple nodules in the right middle and lower abdomen, a blurred nodule in the tail of the pancreas, and a dilated pancreatic duct in the distal pancreas, raising suspicion of metastasis.
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id doaj-art-75caeee2de174d92a2c0dbccf1f989d4
institution Kabale University
issn 1473-2300
language English
publishDate 2025-08-01
publisher SAGE Publishing
record_format Article
series Journal of International Medical Research
spelling doaj-art-75caeee2de174d92a2c0dbccf1f989d42025-08-20T03:41:34ZengSAGE PublishingJournal of International Medical Research1473-23002025-08-015310.1177/03000605251364059A case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cavaChengbin LuLeyu ZhangBenmo XuTianyu LiDie FanChangyang LiYuanlong ShiXin LiBin ZhaoA woman in her early 50s was admitted to our hospital with a right retroperitoneal tumor that had been detected >1 year ago. Imaging studies revealed a mass in the right middle and lower retroperitoneum, which involved the upper portion of the right fallopian tube and caused dilated hydronephrosis of the right renal pelvis and calyces. Initial diagnosis suggested benign intraventricular smooth muscle neoplasia. She underwent surgical resection of the right retroperitoneal tumor, along with thrombectomy of the right renal vein and inferior vena cava, as well as artificial revascularization of the right renal vein. Postoperative pathology confirmed retroperitoneal smooth muscle sarcoma. She received postoperative chemotherapy with ifosfamide and doxorubicin as well as anticoagulation therapy with rivaroxaban. One year later, follow-up imaging revealed multiple nodules in the right middle and lower abdomen, a blurred nodule in the tail of the pancreas, and a dilated pancreatic duct in the distal pancreas, raising suspicion of metastasis.https://doi.org/10.1177/03000605251364059
spellingShingle Chengbin Lu
Leyu Zhang
Benmo Xu
Tianyu Li
Die Fan
Changyang Li
Yuanlong Shi
Xin Li
Bin Zhao
A case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cava
Journal of International Medical Research
title A case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cava
title_full A case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cava
title_fullStr A case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cava
title_full_unstemmed A case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cava
title_short A case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cava
title_sort case report of retroperitoneal leiomyosarcoma originating from the right ovarian vein and invading the right renal vein and inferior vena cava
url https://doi.org/10.1177/03000605251364059
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