Leiomyosarcoma of the inferior vena cava presenting as a cardiac mass. Issue 6 (13th November 2017)

• Record Type: Journal Article
• Authors: Nabati, Maryam; Azizi, Soheil
• Is Part Of: Journal of clinical ultrasound. Volume 46:Issue 6(2018)
• Page Start: 430
• Page End: 433
• Publication Date: 2017-11-13
• Subjects: dyspnea -- inferior vena cava -- Leiomyosarcoma -- right‐atrium tumor -- surgical resection; Ultrasonics in medicine -- Periodicals; 616.07543
• DOI: 10.1002/jcu.22558
• Languages: English
• ISSNs: 0091-2751

Abstract

Abstract: Primary tumors of the inferior vena cava (IVC) are rare. The most common primary malignancy is leiomyosarcoma (LMS), with a severe prognosis. Right‐atrium (RA) involvement is seen in about 20 percent of cases. We report the case of a 53‐year‐old woman admitted to the intensive care unit because of progressive dyspnea with lower limb edema. Echocardiography demonstrated a large mass in the RA. At open‐heart surgery, the tumor appeared located in the IVC infrahepatic segment, completely obstructing the lumen and extending into the suprahepatic portion and the RA. Histopathological examination concluded to LMS.