1.Leiomyosarcoma of the Ovarian Vein: a Case Report with Radiological Findings.
Hyeon Je CHO ; Ho Kyun KIM ; Jung Ho SUH ; Ghi Jai LEE ; Jae Chan SHIM ; Young Hwa KIM ; Hyuck Sang LEE ; Yun Kyung KANG
Korean Journal of Radiology 2008;9(Suppl):S14-S17
Leiomyosarcomas of the ovarian vein are very rare. Four cases have been reported in the English language clinical literature. We present a case of leiomyosarcomas where the use of multi-detector CT had a substantial role in the establishment of the preoperative diagnosis. The radiological images as well as intraoperative features are illustrated. We also discuss the radiological findings of the ovarian vein leiomyosarcoma in comparison with those of other venous or retroperitoneal leiomyosarcomas. We expect that the use of multi-detector CT will be the choice for the diagnostic work-up of vascular leiomyosarcomas.
Adult
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Female
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Humans
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Leiomyosarcoma/*radiography/surgery
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Ovary/*blood supply
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Tomography, X-Ray Computed
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Vascular Neoplasms/*radiography/surgery
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Veins
2.Pararenal Leiomyosarcoma of the Inferior Vena Cava.
Tae Won KWON ; Kyu Bo SUNG ; Yong Pil CHO ; Do Kyun KIM ; Sun Mo YANG ; Jae Yoon RO ; Geun Eun KIM
Journal of Korean Medical Science 2003;18(3):355-359
A complete surgical resection is the only proven therapeutic modality that prolongs the survival in patients with leiomyosarcoma of the inferior vena cava (IVC). Reconstruction of the IVC is not always necessary but is often required to facilitate venous drainage of the kidney for the tumors at the pararenal area of the IVC. Controversy exists in postoperative adjuvant therapy. Recently, we experienced four cases of pararenal leiomyosarcoma of the IVC, of which treatment consisted of a complete resection of the tumor, ringed polytetrafluoroethylene (PTFE) graft interposition, and bilateral renal vein reconstructions in all patients. Postoperative radiation therapy was instituted in 3 of 4 patients. One patient who did not receive the postoperative radiation therapy was treated with adjuvant chemotherapy. The kidneys were preserved in all patients and no deep vein thrombosis (DVT) or venous insufficiency of the lower extremity veins developed. Distant metastasis to the lung was noted in one patient at 18 months after surgery, who was not received the postoperative radiation therapy but chemotherapy. In conclusion, a complete resection of the tumor, IVC reconstruction, and bilateral renal vein reconstruction followed by adjuvant radiation therapy is recommended for the treatment of pararenal leiomyosarcoma of the IVC.
Adult
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Combined Modality Therapy
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Female
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Human
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Leiomyosarcoma/radiography/*radiotherapy/*surgery
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Middle Aged
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Neoplasm Recurrence, Local/radiography/radiotherapy/surgery
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Retroperitoneal Neoplasms/radiography/radiotherapy/surgery
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Retrospective Studies
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Treatment Outcome
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Vascular Neoplasms/radiography/*radiotherapy/*surgery
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*Vena Cava, Inferior
3.Aggressive Angiomyxoma: an Unusual Presentation.
Junzu GENG ; Bofeng CAO ; Liping WANG
Korean Journal of Radiology 2012;13(1):90-93
Aggressive angiomyxoma is an uncommon mesenchymal myxoid tumor that is characterized by slow growth and frequent local recurrence. It is currently regarded as a nonmetastasizing tumor. We describe a case of recurrent aggressive angiomyxoma with invasion into the veins including the inferior vena cava and the right atrium and with pulmonary metastases. Our case, together with those unusual cases documented in previous reports, may lead to a reappraisal of the nature of aggressive angiomyxoma.
Adult
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Biopsy
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Contrast Media/diagnostic use
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Diagnosis, Differential
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Female
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Humans
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Immunohistochemistry
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Lung Neoplasms/*secondary/surgery
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Myxoma/*diagnosis/pathology/surgery
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Radiography, Interventional
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Tomography, X-Ray Computed
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Vascular Neoplasms/*diagnosis/pathology/surgery
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Vena Cava, Inferior/pathology/surgery
4.Primary pulmonary artery sarcoma: report of a case.
Jing-jiao WANG ; Guo-yi YANG ; Li-hua ZHANG ; Shu-dong YANG
Chinese Journal of Pathology 2010;39(7):490-491
Actins
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metabolism
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Antigens, CD
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metabolism
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Antigens, Differentiation, Myelomonocytic
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metabolism
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Diagnosis, Differential
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Female
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Humans
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Kidney Neoplasms
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pathology
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Middle Aged
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Pulmonary Artery
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Pulmonary Embolism
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pathology
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Radiography
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Sarcoma
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diagnostic imaging
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metabolism
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pathology
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surgery
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Vascular Neoplasms
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diagnostic imaging
;
metabolism
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pathology
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surgery
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Vimentin
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metabolism