A Case of Leiomyosarcoma Arising from the Ovarian Vein Preoperatively Diagnosed with Radiological Imaging

A 54-year-old woman presented withtransient back pain. She was diagnosed withleiomyosarcoma of the inferior vena cava (IVC) by computed tomography (CT) and was referred to our hospital. Contrastenhanced CT revealed a mass (38×42 mm) located in the retroperitoneal space along the course of the right...

Full description

Saved in:

Bibliographic Details
Published in:	Hinyokika kiyo. Acta urologica Japonica Vol. 63; no. 10; pp. 407 - 412
Main Authors:	Tsuchiya, Haruki, Kawahara, Takashi, Kawai, Koji, Chihara, Ichiro, Tanaka, Ken, Kimura, Tomokazu, Ikeda, Atsushi, Yoshino, Takayuki, Ishizuka, Ryutaro, Waku, Natsui, Kandori, Shuya, Kojima, Takahiro, Joraku, Akira, Nakano, Noriyuki, Nasu, Katsuhiro, Minami, Manabu, Nishiyama, Hiroyuki
Format:	Journal Article
Language:	Japanese
Published:	Japan 01-10-2017
Subjects:	Ovarian vein Leiomyosarcoma
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	A 54-year-old woman presented withtransient back pain. She was diagnosed withleiomyosarcoma of the inferior vena cava (IVC) by computed tomography (CT) and was referred to our hospital. Contrastenhanced CT revealed a mass (38×42 mm) located in the retroperitoneal space along the course of the right ovarian vein. The mass compressed the IVC into a crescent shape. A tumor thrombus was also found in the IVC. 18 F-fluoro-2-deoxy-D-glucose positron emission tomography (PET) revealed high uptake at the caudal side of the tumor. These radiological findings strongly suggested the diagnosis of leiomyosarcoma arising from the right ovarian vein. She underwent tumor resection with right nephrectomy, IVC resection, and IVC patch reconstruction without any notable events after surgery. Histopathological diagnosis was leiomyosarcoma arising from the ovarian vein, not from the IVC. Two months after the surgery, CT revealed multiple pulmonary metastases and a single liver metastasis. The patient was referred to another hospital for further treatment. She was treated with chemotherapy and was alive with disease at 14 months after the surgery.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0018-1994
DOI:	10.14989/ActaUrolJap_63_10_407