Leiomyosarcoma of the Inferior Venacava: A Case Report

• Published in: JNMA; journal of the Nepal Medical Association Vol. 57; no. 217; pp. 202 - 205
• Main Authors: Karki, Diksha, Upadhayaya, Paricha, Adhikari, Purbesh, Dahal, Mona, Thapa, Bishow Prakash Jung, Mudbhari, Bandana, Lama, Gopal, Pathak, Neera
• Format: Journal Article
• Language: English
• Published: Nepal Journal of the Nepal Medical Association 01.05.2019; Nepal Medical Association
• Subjects: Abdominal Pain - etiology; actins; vena cava; leiomyosarcoma; smooth muscle; Aged; Case Report; Female; Humans; Leiomyosarcoma - diagnosis; Leiomyosarcoma - surgery; Vascular Neoplasms - diagnosis; Vascular Neoplasms - surgery; Vena Cava, Inferior - pathology; Vomiting - etiology; Weight Loss
• ISSN: 0028-2715; 1815-672X
• DOI: 10.31729/jnma.4455

Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middlesegment of inferior vena cava is the commonest site. The diagnosis can sometimes be challengingas patients present with non-specific symptoms. We present a case of a 65-year-old female whopresented with pain in hypochondrium and epigastric region since 4 months along with weightloss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobatedtumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumorcells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. Withthe diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangentialexcision of 4 cm length of inferior venacava with primary repair.