Retroperitoneal Leiomyosarcoma of the Inferior Vena Ca-va: A Case Report


A Karami 1 , Saeid Azizi 2 , * , A Payombarnia 1 , N Rezaee 1 , N Azarpira 3

1 Department of Surgery,Iranian Hospital, UAE

2 Department of Pathology,Iranian Hospital,Postal code: 2330, [email protected], UAE

3 Department of Pathology,Shiraz University of Medical Sciences, Fars, Iran

How to Cite: Karami A, Azizi S, Payombarnia A, Rezaee N, Azarpira N. Retroperitoneal Leiomyosarcoma of the Inferior Vena Ca-va: A Case Report, Iran Red Crescent Med J. Online ahead of Print ; 11(1):96-99.


Iranian Red Crescent Medical Journal: 11 (1); 96-99
Article Type: Case Report
Received: July 6, 2008
Accepted: November 2, 2008


Leiomyosarcoma of the inferior vena cava (IVC) is a rare sarcoma, but it is the most common primary malignancy of the IVC. It has an extremely gloomy prognosis. We describe a 40 year-old white female complaining of abdominal fullness for 7 weeks before she sought medical assistance. Initial work-up including sonography and computed tomography showed a huge tumoral mass in the abdominal cavity seemingly originating from the IVC with displacement of the right ureter and hydronephrosis. The patient underwent surgical resection of the tumor. Pathologic diagnosis was leiomyosarcoma. Postoperatively, she was placed on coumadin and adjuvant chemotherapy was started. Considering the aggressiveness of this tumor, early radical enblock resection with clear margins is still the only chance for long-term survival.


© 0, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

Full Text

Full text is available in PDF