[Leiomyosarcoma in the area of the pelvic vein].
A 37-year-old patient presented with relapsing edema of the left leg lasting for 3 months. The radiological investigations indicated a thrombotic occlusion of the pelvic veins. Surgery revealed a neoplastic growth within the common femoral vein. Histology corresponded to a leiomyosarcoma of the venous wall with intraluminal growth and no indication for penetration of the wall and invasion of the surrounding tissue. In a second operation the tumor-bearing parts of the profound and superficial femoral vein and the external iliac vein were removed. A postoperative infection with involvement of the superficial femoral artery necessitated resection of the artery and replacement by a bypass. Three months after the intervention the patients fares well. The swelling tendency of the left leg is minimal. A local recurrence of the tumor could not be detected so far. Chemotherapy was refused by the patient.
Innere Abteilung, Franziskus-Krankenhauses Berlin.
C
C
Fahrig
H
H
Heidrich
C
C
Behrendt
B
B
Heydler
U
U
Stockmann
D000328:Adult; D003937:Diagnosis, Differential; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D009360:Neoplastic Cells, Circulating / Q000473:pathology; D010690:Phlebography; D012983:Soft Tissue Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed