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EnglishIntroduction: The authors report a rare case of a leiomyosarcoma of the great saphenous vein (GSV), diagnosed in a 72-year-old male. Report: The symptoms were limited to leg tension and pain during exercise; Duplex scan suggested a GSV thrombosis with an enlarged lymph node. The failure of low-molecular-weight heparin treatment requested a magnetic resonance imaging (MRI) scan revealing a mass attached to the left saphenous vein. An en bloc removal of the mass, measuring 5.5cm in diameter, and a wide resection was performed; a furtherrevision was necessary after 2 months in order to perform radical surgery and the patient underwentradiation therapy. When lung metastases occurred, the patient started chemotherapy but after 5 months died. Discussion: Leiomyosarcoma is difficult to diagnose, requiring MRI scan or positron emission tomography-computed tomography (PET-CT) scan. The best therapy is surgery, which must be radical and may be followed by radiation therapy that may be indicated postoperatively in case of metastases. © 2013 European Society for Vascular Surgery.
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| Data di pubblicazione: | 2013 | |
| Titolo: | Great Saphenous Vein and Leiomyosarcoma | |
| Autori: | Amato, B.; Compagna, R.; Gasbarro, V.; Serra, R.; de Franciscis, S. | |
| Rivista: | EJVES EXTRA | |
| Parole Chiave: | Great saphenous vein; Leiomyosarcoma; Surgery; Cardiology and Cardiovascular Medicine; Surgery | |
| Abstract in inglese: | Introduction: The authors report a rare case of a leiomyosarcoma of the great saphenous vein (GSV), diagnosed in a 72-year-old male. Report: The symptoms were limited to leg tension and pain during exercise; Duplex scan suggested a GSV thrombosis with an enlarged lymph node. The failure of low-molecular-weight heparin treatment requested a magnetic resonance imaging (MRI) scan revealing a mass attached to the left saphenous vein. An en bloc removal of the mass, measuring 5.5cm in diameter, and a wide resection was performed; a furtherrevision was necessary after 2 months in order to perform radical surgery and the patient underwentradiation therapy. When lung metastases occurred, the patient started chemotherapy but after 5 months died. Discussion: Leiomyosarcoma is difficult to diagnose, requiring MRI scan or positron emission tomography-computed tomography (PET-CT) scan. The best therapy is surgery, which must be radical and may be followed by radiation therapy that may be indicated postoperatively in case of metastases. © 2013 European Society for Vascular Surgery. | |
| Digital Object Identifier (DOI): | 10.1016/j.ejvsextra.2013.03.001 | |
| Handle: | http://hdl.handle.net/11392/2387851 | |
| Appare nelle tipologie: | 03.1 Articolo su rivista |
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