title: Curative resection and reconstruction of the inferior vena cava after extensive infiltration with low-grade endometrial stromal sarcoma.
abstract: Endometrial stromal sarcoma (ESS) rarely infiltrates the great vessels. We report a successful surgical resection of the inferior vena cava (IVC) after extensive infiltration with metastatic low-grade ESS. A case of presumed recurrence of low-grade ESS demonstrated complete IVC occlusion from tumour thrombus with extensive local disease. Radical resection of the tumour and caval reconstruction was performed. The IVC graft was thrombosed at short-term follow-up. Curative resection of extensive caval infiltration with metastatic low-grade ESS can be achieved. Caval reconstructive procedures may be redundant in the presence of an adequate collateral circulation.
authors.affiliation: Department of Vascular Surgery, Flinders Medical Centre, Australia.
authors.forename: C L
authors.initials: CL
authors.lastname: Delaney
authors.forename: H
authors.initials: H
authors.lastname: Saleem
authors.forename: C
authors.initials: C
authors.lastname: Karapetis
authors.forename: J I
authors.initials: JI
authors.lastname: Spark
mesh_terms: D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D036821:Endometrial Stromal Tumors / Q000473:pathology / Q000601:surgery*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010690:Phlebography / Q000379:methods; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D013927:Thrombosis / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*