Leiomyosarcoma of the iliac vein.
Leiomyosarcoma of the iliac vein is a very uncommon tumor. We report the case of a 55-year-old man with leiomyosarcoma of the left iliac vein. The patient had abdominal pain and hematuria. Abdominal ultrasound and computed tomography scanning demonstrated a well-defined mass in the left inguinal region, probably arising from the left iliac vein. Ultrasound-guided needle-core biopsy was consistent with a malignant growth. The patient was operated on, and a neoplastic multinodular mass attached to the posterolateral wall of the iliac vein was found. The tumor was resected en bloc, and venous reconstruction was undertaken using a saphenous vein segment. The postoperative course was uneventful, and the histologic study of the resected specimen was confirmed microscopically to be a leiomyosarcoma. No signs of recurrence or metastasis were present 29 months after complete surgical resection.
Valverde
F M González
FM
Department of Surgery, Hospital General Universitario Reina Sofia de Murcia, Servicio De Cirugía, Murcia, Spain. migova@terra.es
Ramos
M J Gómez
MJ
Torregrosa
N
N
Molto
M
M
Rojas
J L Vázquez
JL
D015746:Abdominal Pain / Q000209:etiology / Q000601:surgery; D001706:Biopsy; D006417:Hematuria / Q000209:etiology / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000473:pathology / Q000601:surgery*; D007890:Leiomyosarcoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional; D019043:Vascular Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*