Leiomyosarcoma of the Inferior Vena Cava Presenting as a Renal Mass: A Case Report

Al-Otaibi Hind Saad, A. Mohammed Hassan, Razak Ghaidaa Naser Abdul, Bakiratharajan David, Alanzi Talal Abdulla, Ahmed Tarek Essam Eldin
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Abstract

Leiomyosarcoma (LMS) are rare tumor associated with poor outcomes. Treatment of the condition is challenging due to limited cases in the literature. Here, we present the case of a 46-year-old male who presented with left lower limb deep vein thrombosis, with an ultrasound scan revealing right renal mass. MRI demonstrated a large, well-circumscribed lesion engulfing in the middle and lower right renal poles associated with an invasion of the related part of the IVC, right renal vein and mid-length of the left renal vein. The patient underwent right radical nephrectomy and IVC thrombectomy. Subsequent pathology was consistent with an LMS of the inferior vena cava. We document this case and discuss implications.
下腔静脉平滑肌肉瘤表现为肾肿块1例
平滑肌肉瘤(LMS)是一种罕见的肿瘤,预后较差。由于文献中病例有限,治疗这种疾病具有挑战性。在这里,我们提出的情况下,46岁的男性谁提出了左下肢深静脉血栓形成,与超声扫描显示右肾肿块。MRI显示一个大的,边界清楚的病变吞没了右中下肾极,并伴有侵犯下腔静脉、右肾静脉和左肾静脉中段的相关部分。患者行右侧根治性肾切除术及下腔静脉血栓切除术。随后的病理与下腔静脉的LMS一致。我们记录这个案例并讨论其影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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