Early diagnosis and resection of an asymptomatic leiomyosarcoma of the inferior vena cava prior to caval obstruction Fabio Ramponi, MD, James G. Kench,

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Presentation transcript:

Early diagnosis and resection of an asymptomatic leiomyosarcoma of the inferior vena cava prior to caval obstruction Fabio Ramponi, MD, James G. Kench, FRCPA, Dominic V. Simring, FRACS, Michael Crawford, FRACS, Edward Abadir, MBBS, John P. Harris, FRACS Journal of Vascular Surgery Volume 55, Issue 2, Pages 525-528 (February 2012) DOI: 10.1016/j.jvs.2011.06.112 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Axial (A) and sagittal (B) view of contrast-enhanced computed tomography (CT) scan demonstrating a 2-cm polypoid lesion arising from the posterior wall of the inferior vena cava (IVC) immediately below the hepatic veins. Journal of Vascular Surgery 2012 55, 525-528DOI: (10.1016/j.jvs.2011.06.112) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Intraoperative picture demonstrating the leiomyosarcoma arising on a narrow pedicle from the posterior wall of the inferior vena cava (IVC). B, Axial abdominal computed tomography (CT) documenting no recurrence and good patency of the IVC at 1-year follow-up. Journal of Vascular Surgery 2012 55, 525-528DOI: (10.1016/j.jvs.2011.06.112) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Macroscopic photograph of bisected tumor. B, Tumor comprised intersecting fascicles of spindle cells with blunt-ended nuclei (original magnification ×100, hematoxylin and eosin stain). C, Positive immunohistochemical staining for desmin. Note replacement of the vessel wall by tumor with residual media (top right) (original magnification ×50, desmin staining). D, Frequent mitotic figures were present (original magnification ×400, hematoxylin and eosin stain). Journal of Vascular Surgery 2012 55, 525-528DOI: (10.1016/j.jvs.2011.06.112) Copyright © 2012 Society for Vascular Surgery Terms and Conditions