Leiomyosarcoma of the Inferior Venacava: A Case Report
DOI:
https://doi.org/10.31729/jnma.4455Keywords:
actins; vena cava; leiomyosarcoma; smooth muscle.Abstract
Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middle
segment of inferior vena cava is the commonest site. The diagnosis can sometimes be challenging
as patients present with non-specific symptoms. We present a case of a 65-year-old female who
presented with pain in hypochondrium and epigastric region since 4 months along with weight
loss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobated
tumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumor
cells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. With
the diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangential
excision of 4 cm length of inferior venacava with primary repair.
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