Leiomyosarcoma of the Inferior Venacava: A Case Report

  • Diksha Karki Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Paricha Upadhyaya Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Purbesh Adhikari Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Mona Dahal Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Bishow Prakash Jung Thapa Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Bandana Mudbhari Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Gopal Lama Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Neera Pathak Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
Keywords: actins; vena cava; leiomyosarcoma; smooth muscle.

Abstract

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.

Published
2019-06-30
How to Cite
Karki, D., Upadhyaya, P., Adhikari, P., Dahal, M., Thapa, B. P. J., Mudbhari, B., Lama, G., & Pathak, N. (2019). Leiomyosarcoma of the Inferior Venacava: A Case Report. Journal of Nepal Medical Association, 57(217). https://doi.org/10.31729/jnma.4455
Section
Case Reports

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