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KMID : 0364020090420020275
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 2 p.275 ~ p.278
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Leiomyosarcoma of the Inferior Vena Cava
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Park Jae-Hong
Kim Myoung-Young
Hwang Sang-Won
Kim Han-Yong
Yoo Byung-Ha
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Abstract
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Leiomyosarcoma of the inferior vena cava (IVC) is a rare malignant tumor. Yet tumors of a smooth muscle origin are the most common primary neoplasms of the major veins, and the inferior vena cava is the most common site of origin. We report here on a 65-year-old female patient who had been suffering from dyspnea and abdominal discomfort for 3 weeks before admission. The abdominal computed tomography (CT) scan and IVC cavogram showed an IVC mass extending from the right atrium to above the level of the right renal vein, obstructing the IVC, and the radiological findings were suggestive of an IVC leiomyosarcoma. We resected the tumor and reconstructed the IVC with a patch PTFE graft. The follow-up abdominal CT revealed no recurrence and obstruction of the IVC for 6 months after the operation.
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KEYWORD
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Great vessels, Leiomyosarcoma, Inferior vena cava
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