Leiomyosarcoma of the inferior vena cava as etiology of chronic abdominal pains - a case report.

Autor: D'Amico RC; Santa Casa de Curitiba, Departamento de Cirurgia Vascular, Curitiba, PR, Brasil., Ziliotto TM; Santa Casa de Curitiba, Departamento de Cirurgia Vascular, Curitiba, PR, Brasil., Ávila RM; Santa Casa de Curitiba, Departamento de Cirurgia Vascular, Curitiba, PR, Brasil., Paes SKB; Santa Casa de Curitiba, Departamento de Cirurgia Vascular, Curitiba, PR, Brasil., Sampaio J; Santa Casa de Curitiba, Departamento de Cirurgia Vascular, Curitiba, PR, Brasil., Guarinello GG; Santa Casa de Curitiba, Departamento de Cirurgia Vascular, Curitiba, PR, Brasil., da Silva JP; Santa Casa de Curitiba, Departamento de Cirurgia Vascular, Curitiba, PR, Brasil.
Jazyk: angličtina
Zdroj: Jornal vascular brasileiro [J Vasc Bras] 2022 Sep 19; Vol. 21, pp. e20210129. Date of Electronic Publication: 2022 Sep 19 (Print Publication: 2022).
DOI: 10.1590/1677-5449.202101291
Abstrakt: Inferior vena cava leiomyosarcomas are rare tumors that account for less than 0.7% of all retroperitoneal leiomyosarcomas. They are more common in women and cause nonspecific chronic abdominal pain. In this report, we present the case of a 53-year-old female patient complaining of chronic nonspecific periumbilical abdominal pain with initial onset 8 months previously who was diagnosed with inferior vena cava leiomyosarcoma by computed tomography angiography. The patient was treated with complete resection of the tumor and reconstruction of the inferior vena cava with interposition of a Dacron prosthetic graft. The treatment considered the gold standard consists of complete surgical excision, because these tumors are resistant to chemotherapy and radiotherapy. The prognosis of these patients is closely related to early diagnosis. Therefore, it is very important that vascular and general surgeons know that this disease is a possible differential diagnosis of chronic abdominal pains.
(Copyright© 2022 The authors.)
Databáze: MEDLINE
Externí odkaz: