Leiomyosarcoma of the Inferior Vena Cava With Kidney Invasion.
Primary leiomyosarcomas of the inferior vena cava (IVC) are rare tumors associated with poor prognosis, and surgical resection with the goal of obtaining negative margins is the gold standard for initial treatment. Tumor characteristics of both extraluminal extension into renal parenchyma and intraluminal extension of the subdiaphragmatic IVC are even less common. The prognosis of vascular leiomyosarcomas is determined by the location and the size of the tumor, as these factors determine the risk of local recurrence and metastasis. We present a case of a 30-year old female incidentally found to have a 14 cm right renal mass and IVC thrombus.
Icahn School of Medicine at Mount Sinai, Department of Urology, 1 Gustave L. Levy Pl, New York, NY 10029, USA.
Katherine
K
Brewer
Icahn School of Medicine at Mount Sinai, Department of Urology, 1 Gustave L. Levy Pl, New York, NY 10029, USA.
Kyrollis
K
Attalla
Icahn School of Medicine at Mount Sinai, Department of Urology, 1 Gustave L. Levy Pl, New York, NY 10029, USA.
Fatima
F
Husain
Icahn School of Medicine at Mount Sinai, Department of Medical Oncology, 1 Gustave L. Levy Pl, New York, NY 10029, USA.
Che-Kai
CK
Tsao
Icahn School of Medicine at Mount Sinai, Department of Urology, 1 Gustave L. Levy Pl, New York, NY 10029, USA.
Ketan K
KK
Badani
Icahn School of Medicine at Mount Sinai, Department of Urology, 1 Gustave L. Levy Pl, New York, NY 10029, USA.
John P
JP
Sfakianos
Inferior vena cava; Leiomyosarcoma; Renal mass; Thrombus
Pathol Int. 2004 Apr;54(4):256-60
15028027
Cancer. 1999 Mar 1;85(5):1077-83
10091791
Int J Surg. 2015 Jan;13:92-5
25489949
J Am Coll Surg. 2003 Oct;197(4):575-9
14522326
Ann Surg. 2006 Aug;244(2):289-95
16858193