Aggressive surgery aids long-term IVC leiomyosarcoma survival: Report of a case

Hirotake Komatsu, Takashi Tsuchiya, Hiroshi Honda, Takeshi Naito, Masaya Oikawa, Tetsuya Kakita, Atsushi Oyama, Takashi Yazawa, Yasuhiro Miura, Takashi Sawai

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of inferior vena cava (IVC) sarcoma aiding long-term survival. A 39-year-old woman underwent radical surgery in July 2001. In it, a retroperitoneal tumor was resected and the IVC partially resected and replaced with a synthetic vascular prosthesis. Histologically, findings showed IVC leiomyosarcoma. Metachronous local and distant recurrence was found after liver metastasis detected 27 months after surgery. For this, she underwent 10 resections, dying 95 months (7.9 years) after initial surgery. Resections involved the liver, pancreas, subcutaneous soft tissue, spine, and local recurrent sites. The last detected but unresectable metastases were of the skull and soft tissue. Our case underscores the importance of aggressive surgery in recurrent IVC sarcoma for lengthening survival.

Original languageEnglish
Pages (from-to)510-518
Number of pages9
JournalJapanese Journal of Gastroenterological Surgery
Volume44
Issue number4
DOIs
Publication statusPublished - 2011

Keywords

  • Inferior vena cava
  • Leiomyosarcoma

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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