Leiomyosarcoma of the retrohepatic vena cava: Report of a case treated with resection and reconstruction with polytetrafluoroethylene vascular graft
Yücel Yankol, Nesimi Mecit, Turan Kanmaz, Koray Acarlı
Hepato-Pancreato-Biliary Surgery and Organ Transplantation Center, Memorial Şişli Hospital, İstanbul, Turkey
Leiomyosarcoma of the vena cava is a rare malignant tumor. A 61- year-old woman was admitted with right upper quadrant abdominal pain. Computed tomography revealed a retrohepatic vena cava tumor originating 2 cm below the confluence of the hepaic veins and ending 2 cm above the renal veins. The tumor was resected with 1 cm clear surgical margins, without requiring liver resection. Polytetrafluoroethylene vascular graft was used for reconstruction of the vena cava. Now 32 months postoperatively, there has been no recurrence or metastasis. Radical resection with negative surgical margins is the best curative therapy for leiomyosarcoma. Polytetrafluoroethylene vascular graft can be used in extensive tumors located at the vena cava.
Keywords: Leiomyosarcoma, retrohepatic vena cava, surgical treatment
Written informed consent was obtained from patient who participated in this case.
Concept - Y.Y., K.A.; Design - Y.Y., K.A., T.K.; Supervision - Y.Y., K.A.; Funding - Y.Y., K.A.; Materials - K.A.; Data Collection and/or Processing - Y.Y., K.A., N.M.; Analysis and/or Interpretation - Y.Y., K.A., N.M., T.K.; Literature Review - Y.Y., N.M.; Writer - Y.Y.; Critical Review - T.K., K.A.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.