title: Early diagnosis and resection of an asymptomatic leiomyosarcoma of the inferior vena cava prior to caval obstruction.
abstract: Leiomyosarcoma of the inferior vena cava is a rare and aggressive tumor, characterized by a slow growth and usually late diagnosis. The mainstay of therapy is surgical resection with limited role for chemotherapy or radiotherapy; resection modalities and the need for caval reconstruction are still matters of debate. In this case report, we describe an asymptomatic intraluminal leiomyosarcoma of the inferior vena cava diagnosed incidentally prior to caval occlusion during a routine ultrasound examination of the upper abdomen.
authors.affiliation: Department of Vascular Surgery, Royal Prince Alfred Hospital, University of Sydney, Sydney, Australia. fabio.ramponi@fastwebnet.it
authors.forename: Fabio
authors.initials: F
authors.lastname: Ramponi
authors.forename: James G
authors.initials: JG
authors.lastname: Kench
authors.forename: Dominic V
authors.initials: DV
authors.lastname: Simring
authors.forename: Michael
authors.initials: M
authors.lastname: Crawford
authors.forename: Edward
authors.initials: E
authors.lastname: Abadir
authors.forename: John P
authors.initials: JP
authors.lastname: Harris
mesh_terms: D000328:Adult; D058070:Asymptomatic Diseases; D055088:Early Detection of Cancer; D006801:Humans; D007150:Immunohistochemistry; D033162:Incidental Findings; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D010690:Phlebography / Q000379:methods; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D014656:Vascular Surgical Procedures; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*