TY - JOUR AU - Karki, Diksha AU - Upadhyaya, Paricha AU - Adhikari, Purbesh AU - Dahal, Mona AU - Thapa, Bishow Prakash Jung AU - Mudbhari, Bandana AU - Lama, Gopal AU - Pathak, Neera PY - 2019/06/30 Y2 - 2024/03/29 TI - Leiomyosarcoma of the Inferior Venacava: A Case Report JF - Journal of Nepal Medical Association JA - J Nepal Med Assoc VL - 57 IS - 217 SE - Case Reports DO - 10.31729/jnma.4455 UR - http://www.jnma.com.np/jnma/index.php/jnma/article/view/4455 SP - AB - <p>Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middle<br>segment of inferior vena cava is the commonest site. The diagnosis can sometimes be challenging<br>as patients present with non-specific symptoms. We present a case of a 65-year-old female who<br>presented with pain in hypochondrium and epigastric region since 4 months along with weight<br>loss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobated<br>tumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumor<br>cells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. With<br>the diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangential<br>excision of 4 cm length of inferior venacava with primary repair.</p> ER -