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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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| 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. |
| format | Article |
| id | doaj-art-8267823cea6645249bece650e4bdc232 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| 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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