Inferior vena cava resection and reconstruction with falciform ligament graft for leiomyosarcoma. Case report
Kvasivka O.O., Moiseienko A.B., Pareniuk R.Y., Pepenin I.O., Shudrak A.A., Kopchak K.V.
Summary. Leiomyosarcoma of the inferior vena cava (IVC) is a rare and complex malignancy that accounts for only 2% of all soft tissue sarcomas and occurs with an incidence of 1 per 100 000 cases of malignant tumors. Its low prevalence and nonspecific symptoms make diagnosis and treatment particularly challenging. A 64-year-old woman complained of pain in the right subcostal area, which had been increasing for three years. The examination revealed a retroperitoneal mass, and further diagnostics confirmed the sarcoma of the IVC. The patient successfully underwent a resection of the IVC with liver resection and right-sided adrenalectomy. This case emphasizes the rarity of leiomyosarcoma of IVC and the need for a high level of suspicion and thorough diagnostic examination. According to the literature, surgery is the main treatment modality due to the limited efficacy of chemotherapy and radiotherapy.
Leave a comment