Leiomyosarcoma of the superior vena cava. A first case with resection.
Leiomysarcomas, rare malignant tumors of the veins, are located predominantly in the inferior vena cava. We report our experience with a leiomyosarcoma in the superior vena cava of a 44-year-old white man. The lesion had been locally excised and then recurred 2 1/2 years later. The recurrent tumor was widely excised and the superior vena cava was repaired with a saphenous vein patch graft. The area of the recurrence was treated with cobalt 60 therapy. Four years later, 6 1/2 years after initial treatment, the patient is alive and well without evidence of recurrence.
D000328:Adult; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*