Leiomyosarcoma of the Inferior Venacava: A Case Report
Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middle
segment of inferior vena cava is the commonest site. The diagnosis can sometimes be challenging
as patients present with non-specific symptoms. We present a case of a 65-year-old female who
presented with pain in hypochondrium and epigastric region since 4 months along with weight
loss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobated
tumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumor
cells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. With
the diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangential
excision of 4 cm length of inferior venacava with primary repair.
Copyright (c) 2019 Dr. Diksha Karki, Dr. Paricha Upadhayaya, Dr. Purbesh Adhikari, Dr. Mona Dahal, Dr. Bishow Prakash Jung Thapa, Dr. Bandana Mudbhari, Dr. Gopal Lama, Dr. Neera Pathak
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