Leiomyosarcoma of the Inferior Venacava: A Case Report
Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middle segment of inferior vena cava is the commonest site. The diagnosis can sometimes be challenging as patients present with non-specific symptoms. We present a case of a 65-year-old female who presented w...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nepal Medical Association
2019-06-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/4455 |
| Summary: | Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middle
segment of inferior vena cava is the commonest site. The diagnosis can sometimes be challenging
as patients present with non-specific symptoms. We present a case of a 65-year-old female who
presented with pain in hypochondrium and epigastric region since 4 months along with weight
loss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobated
tumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumor
cells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. With
the diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangential
excision of 4 cm length of inferior venacava with primary repair.
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| ISSN: | 0028-2715 1815-672X |