1. Aortic Reconstruction by Cadaveric Graft After Radical Resection of Recurrent Retroperitoneal Leyomiosarcoma - A Case Report and Literature Review.
- Author
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Brezan I, Petrea S, Brasoveanu V, Catrina E, Aldoescu S, Vilcu M, Balescu I, and Bacalbasa N
- Subjects
- Female, Humans, Leiomyosarcoma diagnosis, Leiomyosarcoma surgery, Middle Aged, Recurrence, Retroperitoneal Neoplasms diagnosis, Retroperitoneal Neoplasms surgery, Treatment Outcome, Aortic Valve Stenosis etiology, Aortic Valve Stenosis surgery, Cadaver, Leiomyosarcoma complications, Retroperitoneal Neoplasms complications, Vascular Grafting methods
- Abstract
Background/aim: Retroperitoneal sarcomas represent very aggressive malignancies with high capacity of invading the surrounding vital structures., Case Report: We present the case of a 46-year-old patient who had been initially diagnosed with a large retroperitoneal mass 18 months ago. At that moment the mass was resected en bloc with the inferior cava vein, which was reconstructed using a cadaveric graft, the histopathological studies demonstrating the presence of a leiomyosarcoma. One year later she was diagnosed with recurrent disease invading the abdominal aorta and a liver metastasis. This time the recurrence was resected en bloc with the abdominal aorta, which was reconstructed by placing a cadaveric graft; atypical liver resection was also performed. The postoperative course was uneventful., Conclusion: Extended vascular resections and cadaveric graft reconstructions might be needed in order to achieve a good local control of the disease in patients with retroperitoneal sarcomas., (Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.)
- Published
- 2020
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