We describe the case of a 37-year-old woman who presented with an unusually large (26 × 20 × 16 cm) extraluminal leiomyosarcoma arising from segment I (below the renal vessels) of the inferior vena cava. She was successfully managed with radical surgical excision and reconstruction of the inferior vena cava with synthetic graft.
MingoliACavallaroASapienzaPDi MarzoLFeldhausRJCavallariN. International Registry of Inferior Vena Cava Leiomyosarcoma: analysis of a world series on 218 patients. Anticancer Res1996; 16(5B): 3201–3205.
2.
BowerTCStansonADiagnosis and management of tumors of the inferior vena cava. In: RutherfordRB (ed.) Vascular Surgery, Philadelphia: WB Saunders Company, 2000, pp. 2077–2092.
3.
HemantDKrantikumarRAmitaJChawlaARanjeetN. Primary leiomyosarcoma of inferior vena cava, a rare entity: imaging features. Australas Radiol2001; 45: 448–451.
4.
MingoliAFeldhausRJCavallaroAStipaS. Leiomyosarcoma of the inferior vena cava: analysis and search of world literature on 141 patients and report of three new cases [Review]. J Vasc Surg1991; 14: 688–699.
5.
HollenbeckSTGrobmyerSRKentKCBrennanMF. Surgical treatment and outcomes of patients with primary inferior vena cava leiomyosarcoma. J Am Coll Surg2003; 197: 575–579.
6.
GowdaRMGowdaMRMehtaNJ. Right atrial extension of primary venous leiomyosarcoma: pulmonary embolism and Budd-Chiari syndrome at presentation—a case report. Angiology2004; 55: 213–216.
7.
NikaidoTEndoYNimuraSIshikuraHUshigomeS. Dumbbell-shaped leiomyosarcoma of the inferior vena cava with foci of rhabdoid changes and osteoclast-type giant cells. Pathol Int2004; 54: 256–260.
8.
SarkarREilberFRGelabertHAQuinones-BaldrichWJ. Prosthetic replacement of the inferior vena cava for malignancy. J Vasc Surg1998; 28: 75–81.
9.
HinesOJNelsonSQuinones-BaldrichWJEilberFR. Leiomyosarcoma of the inferior vena cava: prognosis and comparison with leiomyosarcoma of other anatomic sites. Cancer1999; 85: 1077–1083.
