Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava

A 76-year-old Japanese man was referred to our hospital with chief complaint of right hypochondoralgia. Abdominal ultrasound showed a retroperitoneal tumor in the suprarenal region of the right kidney. Computed tomography revealed an enhanced lobular tumor with irregular, circumscribed, and indistin...

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Main Authors: Hirofumi Sonoda, Keisuke Minamimura, Yuhei Endo, Shoichi Irie, Toru Hirata, Takashi Kobayashi, Ken-ichi Mafune, Masaya Mori
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2015/342148
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author Hirofumi Sonoda
Keisuke Minamimura
Yuhei Endo
Shoichi Irie
Toru Hirata
Takashi Kobayashi
Ken-ichi Mafune
Masaya Mori
author_facet Hirofumi Sonoda
Keisuke Minamimura
Yuhei Endo
Shoichi Irie
Toru Hirata
Takashi Kobayashi
Ken-ichi Mafune
Masaya Mori
author_sort Hirofumi Sonoda
collection DOAJ
description A 76-year-old Japanese man was referred to our hospital with chief complaint of right hypochondoralgia. Abdominal ultrasound showed a retroperitoneal tumor in the suprarenal region of the right kidney. Computed tomography revealed an enhanced lobular tumor with irregular, circumscribed, and indistinct border. Ultrasound-guided biopsy was performed. The tumor consisted of spindle-shaped cells with a giant nucleus and multinuclear cells. The diagnosis was leiomyosarcoma by immunohistochemical staining. The patient underwent surgery accessed by a right eighth intercostal thoracoabdominal incision. The tumor was completely resected, accompanied by removal of the posterosuperior segment of the right hepatic lobe, right adrenal gland, and a portion of the inferior vena cava (IVC). The histopathologic diagnosis was leiomyosarcoma arising from the IVC. We present a rare case of a successfully managed leiomyosarcoma of the IVC. This case suggests the importance of curative surgical resection of the tumor due to low efficacy of adjuvant chemotherapy for leiomyosarcoma.
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institution Kabale University
issn 1687-9627
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publishDate 2015-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-8267823cea6645249bece650e4bdc2322025-02-03T01:03:38ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/342148342148Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena CavaHirofumi Sonoda0Keisuke Minamimura1Yuhei Endo2Shoichi Irie3Toru Hirata4Takashi Kobayashi5Ken-ichi Mafune6Masaya Mori7Division of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, JapanDivision of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, JapanDivision of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, JapanDivision of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, JapanDivision of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, JapanDivision of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, JapanDivision of Gastrointestinal Surgery, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, JapanDivision of Pathology, Mitsui Memorial Hospital, Kanda-Izumi-cho 1, Chiyoda-ku, Tokyo 101-8643, JapanA 76-year-old Japanese man was referred to our hospital with chief complaint of right hypochondoralgia. Abdominal ultrasound showed a retroperitoneal tumor in the suprarenal region of the right kidney. Computed tomography revealed an enhanced lobular tumor with irregular, circumscribed, and indistinct border. Ultrasound-guided biopsy was performed. The tumor consisted of spindle-shaped cells with a giant nucleus and multinuclear cells. The diagnosis was leiomyosarcoma by immunohistochemical staining. The patient underwent surgery accessed by a right eighth intercostal thoracoabdominal incision. The tumor was completely resected, accompanied by removal of the posterosuperior segment of the right hepatic lobe, right adrenal gland, and a portion of the inferior vena cava (IVC). The histopathologic diagnosis was leiomyosarcoma arising from the IVC. We present a rare case of a successfully managed leiomyosarcoma of the IVC. This case suggests the importance of curative surgical resection of the tumor due to low efficacy of adjuvant chemotherapy for leiomyosarcoma.http://dx.doi.org/10.1155/2015/342148
spellingShingle Hirofumi Sonoda
Keisuke Minamimura
Yuhei Endo
Shoichi Irie
Toru Hirata
Takashi Kobayashi
Ken-ichi Mafune
Masaya Mori
Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
Case Reports in Medicine
title Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_full Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_fullStr Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_full_unstemmed Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_short Complete Surgical Resection of a Leiomyosarcoma Arising from the Inferior Vena Cava
title_sort complete surgical resection of a leiomyosarcoma arising from the inferior vena cava
url http://dx.doi.org/10.1155/2015/342148
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