Simultaneous Surgery for Inferior Vena Cava Leiomyosarcoma with Multiple Hepatic Metastases: A Justified Challenge
| Autor: | Nobuhiro Tada, Mamoru Kaieda, Tamahiro Kinjo, Teruo Komokata, Hiroyuko Motodaka, Bibek Aryal, Kota Yoshikawa, Yoshiyuki Mizuta, Yoshikazu Kawazu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Leiomyosarcoma
medicine.medical_specialty medicine.medical_treatment Vena Cava Inferior 030204 cardiovascular system & hematology Malignancy Inferior vena cava Metastasis 03 medical and health sciences 0302 clinical medicine medicine Neoplasm Metastasis business.industry General Medicine Articles medicine.disease Primary tumor body regions medicine.vein 030220 oncology & carcinogenesis Resection margin cardiovascular system Radiology Hepatectomy business Inferior Vena Cava Leiomyosarcoma |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Male, 42 Final Diagnosis: IVC leiomyosarcoma with multiple liver metastases Symptoms: Abdominal pain Medication: — Clinical Procedure: IVC resection with hepatectomy Specialty: Surgery Objective: Unusual or unexpected effect of treatment Background: Leiomyosarcoma of inferior vena cava (IVC), a rarely encountered malignancy originating from the smooth muscle cells of media of the IVC, frequently metastasize to the liver. The suggested treatment of choice of IVC leiomyosarcoma is radical en-bloc excision aimed to obtain a negative resection margin. There are a few reported cases of surgical management in patients with liver metastasis from IVC leiomyosarcoma. Case Report: This report describes a simultaneous surgical approach for a case of IVC leiomyosarcoma with multiple liver metastases followed by chemotherapy. Conclusions: Tumor volume reduction surgery of metastatic lesions combined with radical resection of the primary tumor may provide better survival benefit in patients with advanced IVC leiomyosarcoma. |
| Databáze: | OpenAIRE |
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