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Case Report
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| A case of giant leiomyosarcoma of the inferior vena cava with liver metastases: A surgical challenge | ||||||
| Yuki Tsuchiya1, Tomoaki Ito1, Mutsumi Sakurada1, Tomoyuki Kushida1, Hajime Orita1, Hiroshi Maekawa1, Miki Yamano2, Ryo Wada2, Koichi Sato1 | ||||||
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1Department of Surgery, Juntendo University Shizuoka Hospital, Shizuoka, Japan.
2Department of Pathology, Juntendo University Shizuoka Hospital, Shizuoka, Japan. | ||||||
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| Tsuchiya Y, Ito T, Sakurada M, Kushida T, Orita H, Maekawa H, Yamano M, Wada R, Sato K. A case of giant leiomyosarcoma of the inferior vena cava with liver metastases: A surgical challenge. J Case Rep Images Surg 2016;2:76–79. |
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Abstract
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Introduction:
Leiomyosarcoma of the inferior vena cava is a rare tumor that is hard to diagnose because there are no definitive symptoms.
Case Report: A 72-year-old Japanese female presented with edema in both legs. Enhanced computed tomography scan of the abdomen revealed a heterogeneous tumor measuring 10×11×15 cm, which exerted pressure on the inferior vena cava. We preoperatively diagnosed the tumor as leiomyosarcoma in the middle region of the inferior vena cava. During resection of the tumor, the right and left renal veins and inferior vena cava were clamped for 32 minutes. A 90-mm elliptical resection was taken from the inferior vena cava and replaced with a 20-mm straight vascular graft. Pathological examination indicated leiomyosarcoma of the inferior vena cava and liver metastasis. The patient was put on anticoagulant drugs and discharged on the 14th postoperative day. Conclusion: We report a rare case of giant leiomyosarcoma of the inferior vena cava with liver metastasis. | |
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Keywords:
Inferior vena cava, Leiomyosarcoma, Liver metastasis
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Author Contributions
Yuki Tsuchiya – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Tomoaki Ito – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mutsumi Sakurada – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Tomoyuki Kushida – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Hajime Orita – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Hiroshi Maekawa – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Miki Yamano – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Ryo Wada – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Koichi Sato – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Yuki Tsuchiya et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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