Leiomyosarcoma of the inferior vena cava. What to look for in the images?. Presentation of a case

Authors

  • María Isabel Palacio Montoya Universidad CES. Medellín,
  • Pedro Abad Díaz Imagenes Cardiosvasculares SURA
  • Catalina Posada Cuartas Universidad CES. Medellín
  • María Isabel Carvajal Vélez Clinica las Americas, Medellin

DOI:

https://doi.org/10.53903/01212095.162

Keywords:

Leiomyosarcoma, Inferior vena cava, Multidetector computed tomography

Abstract

Inferior vena cava leiomyosarcoma (IVC) is a low-growing, malignant mesenchymal tumor that arises in the smooth muscle cells of the tunica media of the vascular wall and has a generally por prognosis. Images play a crucial role in the diagnostic approach and in surgical planning, therefore, recognizing the most frequent findings is necessary in radiological practice. We describe a case that outlines the most typical findings in different diagnostic modalities including tomography, magnetic resonance imaging and PET-CT, with the aim of recognizing the characteristics that can lead to an earlier diagnosis and therefore to favor patient survival.

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References

Mastoraki A, Leotsakos G, Mastoraki S, Papanikolaou IS, Danias N, Smyrniotis V, et al. Challenging diagnostic and therapeutic modalities for leiomyosarcoma of inferior vena cava. Int J Surg Lond Engl. 2015;13:92-5. doi: 10.1016/j.ijsu.2014.11.051

Bednarova I, Frellesen C, Roman A, Vogl TJ. Case 257: Leiomyosarcoma of the inferior vena cava. Radiology. 2018;288(3):901-8. doi: 10.1148/radiol.2018160821

Alkhalili E, Greenbaum A, Langsfeld M, Marek J, Rana MA, Glew R, et al. Leiomyosarcoma of the inferior vena cava: A case series and review of the literature. Ann Vasc Surg. 2016;33:245-51. doi: 10.1016/j.avsg.2015.10.016

Monteagudo Cortecero J, Guirau Rubio MD, Payá Romá A. Leiomyosarcoma of the inferior vena cava: AIRP best cases in radiologic-pathologic correlation. RadioGraphics. 2015;35(2):616-20. doi: 2020-10-08 21:37:22

Bonura A, Saade C, Sharma P. Leiomyosarcoma of the inferior vena cava. Australas Radiol. 2006;50(4):395-9. doi: 10.1111/j.1440-1673.2006.01611.x

Gage MJ, Patel AV, Koenig KL, Newman E. Non-vena cava venous leiomyosarcomas: a review of the literature. Ann Surg Oncol. 2012;19(11):3368-74. doi: 10.1245/s10434- 012-2379-2

Sulpice L, Rayar M, Levi Sandri G-B, de Wailly P, Henno S, Turner K, et al. Leiomyosarcoma of the inferior vena cava. J Visc Surg. 2016;153(3):161-5. doi: 10.1016/j.jviscsurg.2015.11.002

Xu J, Velayati A, Berger BJ, Liu M, Cheedella NKS, Gotlieb V. Leiomyosarcoma of the inferior vena cava in an HIV-positive adult patient: A case report and review of the literature. Am J Case Rep. 2017;18:1160-5. doi: 10.12659/ajcr.905787

Ceyhan M, Danaci M, Elmali M, Ozmen Z. Leiomyosarcoma of the inferior vena cava. Diagn Interv Radiol Ank Turk. 2007;13(3):140-3.

Singh N, Shivdasani D, Karangutkar S. Rare case of primary inferior vena cava leiomyosarcoma on F-18 fluorodeoxyglucose positron emission tomography-computed tomography scan: Differentiation from nontumor thrombus in a background of procoagulant state. Indian J Nucl Med IJNM Off J Soc Nucl Med India. 2014;29(4):246-8. doi: 10.4103/0972-3919.142629

Webb EM, Wang ZJ, Westphalen AC, Nakakura EK, Coakley FV, Yeh BM. Can CT features differentiate between inferior vena cava leiomyosarcomas and primary retroperitoneal masses? Am J Roentgenol. 2013;200(1):205-9. doi: 10.2214/ AJR.11.7476

Ganeshalingam S, Rajeswaran G, Jones RL, Thway K, Moskovic E. Leiomyosarcomas of the inferior vena cava: diagnostic features on cross-sectional imaging. Clin Radiol. 2011;66(1):50-6. doi: 10.1016/j.crad.2010.08.004

Zhou X, Wang M, Li S, Cai H, Liang L, Li Z-P, et al. A case of a huge inferior vena cava leiomyosarcoma: Precise preoperative evaluation with gadobutrol-enhanced MRI. Cancer Manag Res. 2020;12:7929-39. doi: 10.2147/CMAR.S258990

Mu D, Wang D, Zhou K, Zhu B. Radiographic features of intraluminal leiomyosarcoma of the inferior vena cava: an atypical case report. Abdom Imaging. 2011;36(5):586-9. doi: 10.1007/s00261-010-9673-x

Hemant D, Krantikumar R, Amita J, Chawla A, Ranjeet N. Primary leiomyosarcoma of inferior vena cava, a rare entity: Imaging features. Australas Radiol. 2001;45(4):448- 51. doi: 10.1046/j.1440-1673.2001.00955.x

Engelbrecht M, Akin O, Dixit D, Schwartz L. Bland and tumor thrombi in abdominal malignancies: magnetic resonance imaging assessment in a large oncologic patient population. Abdom Imaging. 2011;36(1):62-8. doi: 10.1007/s00261-010-9608-6

Smillie RP, Shetty M, Boyer AC, Madrazo B, Jafri SZ. Imaging evaluation of the inferior vena cava. RadioGraphics. 2015;35(2):578-92. doi: 10.1148/rg.352140136

Ito H, Hornick JL, Bertagnolli MM, George S, Morgan JA, Baldini EH, et al. Leiomyosarcoma of the inferior vena cava: survival after aggressive management. Ann Surg Oncol. 2007;14(12):3534-41. doi: 10.1245/s10434-007-9552-z

Sephien A, Mousa MS, Bui MM, Kedar R, Thomas K. Leiomyosarcoma of the inferior vena cava with hepatic and pulmonary metastases: Case report. J Radiol Case Rep. 2019;13(5):30-40. doi: 10.3941/jrcr.v13i5.3641

Teixeira FJR, do Couto Netto SD, Perina AL de F, Torricelli FCM, Ragazzo Teixeira L, Zerati AE, et al. Leiomyosarcoma of the inferior vena cava: Survival rate following radical resection. Oncol Lett. 2017;14(4):3909-16. doi: 10.1245/s10434-007-9552-z

Jeong S, Han Y, Cho Y-P, Kwon T-W. Clinical outcomes of surgical resection for leiomyosarcoma of the inferior vena cava. Ann Vasc Surg. 2019;61:377-83. doi: 10.1016/j.avsg.2019.05.053

Wachtel H, Gupta M, Bartlett EK, Jackson BM, Kelz RR, Karakousis GC, et al. Outcomes after resection of leiomyosarcomas of the inferior vena cava: a pooled data analysis of 377 cases. Surg Oncol. 2015;24(1):21-7. doi: 10.1016/j.suronc.2014.10.007

Published

2021-09-30

How to Cite

(1)
Palacio Montoya, M. I. .; Abad Díaz, P. .; Posada Cuartas, C. .; Carvajal Vélez, M. I. . Leiomyosarcoma of the Inferior Vena Cava. What to Look for in the images?. Presentation of a Case. Rev. colomb. radiol. 2021, 32, 5616-5621.

Issue

Section

Case reports