Open AccessMetastatic leiomyosarcoma of the inferior vena cava with long-time survival: therapeutic options
Author(s) -
Laia Torrent-Jansà,
Benedetto Ielpo,
Chady Salloum
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.6863/2020
Subject(s) - medicine , leiomyosarcoma , inferior vena cava , vena cava , radiology
A 70-year-old male diagnosed with leiomyosarcoma of the inferior vena cava level II, treated with radical resection with negative margins. An hepatic metastasis in segment II is found at the 5th year follow up (fig. 1). Given the good general condition of the patient, the long disease-free period and a single resectable metastasis, the surgical excision was decided. The leiomyosarcoma of the inferior vena cava is a rare tumor of mesenchymal origin. Margins free surgery is the only treatment that increases survival. However, this is the most unfeasible situation since the disease presentation is often with a spread tumor. The singularity of this case is the long disease-free period and a single liver metastasis as recurrence of the disease.