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[A Case of Leiomyosarcoma Arising from the Ovarian Vein Preoperatively Diagnosed with Radiological Imaging].
- Source :
-
Hinyokika kiyo. Acta urologica Japonica [Hinyokika Kiyo] 2017 Oct; Vol. 63 (10), pp. 407-412. - Publication Year :
- 2017
-
Abstract
- 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.
- Subjects :
- Female
Humans
Leiomyosarcoma surgery
Middle Aged
Multimodal Imaging
Positron Emission Tomography Computed Tomography
Tomography, X-Ray Computed
Vascular Neoplasms surgery
Veins surgery
Leiomyosarcoma blood supply
Leiomyosarcoma diagnostic imaging
Ovary blood supply
Vascular Neoplasms diagnostic imaging
Vascular Neoplasms pathology
Veins diagnostic imaging
Veins pathology
Subjects
Details
- Language :
- Japanese
- ISSN :
- 0018-1994
- Volume :
- 63
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Hinyokika kiyo. Acta urologica Japonica
- Publication Type :
- Academic Journal
- Accession number :
- 29103254
- Full Text :
- https://doi.org/10.14989/ActaUrolJap_63_10_407