title: Primary leiomyosarcoma of the innominate vein.
abstract: 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.
authors.affiliation: Francesco Durante Department of Surgery, University of Rome La Sapienza, Rome, Italy. giulio.illuminati@uniroma1.it
authors.forename: Giulio
authors.initials: G
authors.lastname: Illuminati
authors.forename: Fabio
authors.initials: F
authors.lastname: Miraldi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Mazzesi
authors.forename: Antonio
authors.initials: A
authors.lastname: D'urso
authors.forename: Gianluca
authors.initials: G
authors.lastname: Ceccanei
authors.forename: Marcello
authors.initials: M
authors.lastname: Bezzi
mesh_terms: 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*