title: [Leiomyosarcoma of the superior vena cava: diagnosis by endovascular biopsy].
abstract: We report the case of a 69-year-old woman with leiomyosarcoma of the superior vena cava presenting with acute superior vena cava syndrome (SVCS). CT and MRI failed to fully characterize the endovascular process. Percutaneous endovascular biopsy, followed by metallic stent placement to treat the SVCS, confirmed the diagnosis. Symptoms resolved within 48 hours and surgical resection of the tumor was performed one month later. Unfortunately the patient died two weeks later because of intracranial hemorrhage.
authors.affiliation: Service de Radiologie, Université Paris V--Hôpital Ambroise Paré, Boulogne-Billancourt, France.
authors.forename: R
authors.initials: R
authors.lastname: Izzillo
authors.forename: S D
authors.initials: SD
authors.lastname: Qanadli
authors.forename: F
authors.initials: F
authors.lastname: Staroz
authors.forename: O
authors.initials: O
authors.lastname: Dubourg
authors.forename: F
authors.initials: F
authors.lastname: Laborde
authors.forename: G
authors.initials: G
authors.lastname: Raguin
authors.forename: P
authors.initials: P
authors.lastname: Lacombe
mesh_terms: D000368:Aged; D001706:Biopsy / Q000295:instrumentation / Q000379:methods*; D002405:Catheterization, Central Venous / Q000295:instrumentation; D017809:Fatal Outcome; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications / Q000473:pathology*; D015641:Radiography, Interventional; D015607:Stents; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000628:therapy; D019043:Vascular Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D014683:Vena Cava, Superior / Q000473:pathology* / Q000601:surgery