Primary leiomyosarcoma of the innominate vein.
Primary venous leiomyosarcoma is rare. We report the case of a primary leiomyosarcoma of the left innominate vein, with neoplastic thrombus extending into the left jugular and subclavian veins. The tumor was curatively resected en bloc with anterior mediastinal and laterocervical lymphatics, through a median sternotomy prolonged into left cervicotomy. Primary venous sarcomas may be associated with prolonged survival in individual cases, with curative resection recommended as the standard treatment, in the absence of distant spread.
Illuminati
Giulio
G
Francesco Durante Department of Surgery, University of Rome La Sapienza, Rome, Italy. giulio.illuminati@uniroma1.it
Miraldi
Fabio
F
Mazzesi
Giuseppe
G
D'urso
Antonio
A
Ceccanei
Gianluca
G
Bezzi
Marcello
M
D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007601:Jugular Veins; D007890:Leiomyosarcoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D049268:Positron-Emission Tomography; D036542:Tomography, Spiral Computed; D019043:Vascular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*