Peripheral artery leiomyosarcoma

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Presentation transcript:

Peripheral artery leiomyosarcoma Sujit Vijay Sakpal, MD, Rohin Mehta, MD, Nitin Babel, MD, Ronald Scott Chamberlain, MD, MPA Journal of Vascular Surgery Volume 49, Issue 1, Pages 217-221 (January 2009) DOI: 10.1016/j.jvs.2008.07.018 Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 1 Magnetic resonance imaging (MRI) of the left thigh revealed a well-circumscribed, oval mass (white arrow, A to D) in the anteromedial thigh compartment and in close proximity to the femoral neurovascular bundle. Images (A) (left lateral sagittal view) and (D) (axial view) depict the T-1 weighted contrast-enhanced images of the tumor medial to the femur and immediately posterior to the femoral neurovascular bundle. Images (B) (T-2 weighted) and (C) (T-1 weighted) present the mass in a coronal plane. Journal of Vascular Surgery 2009 49, 217-221DOI: (10.1016/j.jvs.2008.07.018) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 2 Gross specimen exhibits the proximal end of the resected profunda femoris artery (dotted arrow, A and B), the tumor within the vessel wall (star, A and B), and extension of the tumor into the distal arterial trifurcation (solid arrows, A and B). Longitudinal cross-section of the specimen (B) revealed an intact intima lined arterial lumen (metal pointer) encased by the tumor (stars). Journal of Vascular Surgery 2009 49, 217-221DOI: (10.1016/j.jvs.2008.07.018) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Fig 3 A, Histology of the tumor (hematoxylin-eosin stain, ×40) revealed spindle-shaped, pleomorphic neoplastic cells with hyperchromatic, atypical, elongated nuclei and fibrillary eosinophilic cytoplasm. B, The neoplastic cells exhibited strong and diffuse cytoplasmic immunoreactivity for actin (hematoxylin-eosin stain, ×20). Both, (A) and (B) depicted characteristic features of a leiomyosarcoma. Journal of Vascular Surgery 2009 49, 217-221DOI: (10.1016/j.jvs.2008.07.018) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions