IVC leiomyosarcoma

Case contributed by Dr Michael P Hartung

Presentation

Abdominal pain.

Patient Data

Age: 75 years
Gender: Female
CT

Enhancing mass along rightward aspect of the IVC, growing into it, with a combination of tumor and bland thrombus extending into the right atrium. A shorter segment of bland thrombus in the IVC proximal to the tumor. 

Budd Chiari.

PATHOLOGY REPORT

SOURCE OF TISSUE:  RETROPERITONEAL MASS ULTRASOUND-GUIDED CORE BIOPSY

FINAL DIAGNOSIS:
Retroperitoneum:  Ultrasound-Guided Needle Core Biopsy:
Leiomyosarcoma, IHC: Desmin and SMA positive

Case Discussion

Rare case of biopsy proven IVC leiomyosarcoma. The patient died shortly after admission. The primary mass is along the rightward aspect of the IVC (extravascular), and extends intravascularly. There is enhancing tumor thrombus and bland thrombus filling the IVC to the right atrium, resulting in hepatic venous obstruction (Budd Chiari). 

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Case information

rID: 59031
Published: 18th Mar 2018
Last edited: 20th Jan 2019
Inclusion in quiz mode: Included
Institution: Ascension Healthcare

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