B. Amato , R. Compagna , V. Gasbarro , R. Serra , S. de Franciscis
{"title":"大隐静脉和平滑肌肉瘤","authors":"B. Amato , R. Compagna , V. Gasbarro , R. Serra , S. de Franciscis","doi":"10.1016/j.ejvsextra.2013.03.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>The authors report a rare case of a leiomyosarcoma of the great saphenous vein (GSV), diagnosed in a 72-year-old male.</p></div><div><h3>Report</h3><p>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.</p><p>An <em>en bloc</em> removal of the mass, measuring 5.5 cm in diameter, and a wide resection was performed; a further revision was necessary after 2 months in order to perform radical surgery and the patient underwent radiation therapy. When lung metastases occurred, the patient started chemotherapy but after 5 months died.</p></div><div><h3>Discussion</h3><p>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.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 1","pages":"Pages e15-e16"},"PeriodicalIF":0.0000,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.001","citationCount":"6","resultStr":"{\"title\":\"Great Saphenous Vein and Leiomyosarcoma\",\"authors\":\"B. Amato , R. Compagna , V. Gasbarro , R. Serra , S. de Franciscis\",\"doi\":\"10.1016/j.ejvsextra.2013.03.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>The authors report a rare case of a leiomyosarcoma of the great saphenous vein (GSV), diagnosed in a 72-year-old male.</p></div><div><h3>Report</h3><p>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.</p><p>An <em>en bloc</em> removal of the mass, measuring 5.5 cm in diameter, and a wide resection was performed; a further revision was necessary after 2 months in order to perform radical surgery and the patient underwent radiation therapy. When lung metastases occurred, the patient started chemotherapy but after 5 months died.</p></div><div><h3>Discussion</h3><p>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.</p></div>\",\"PeriodicalId\":100397,\"journal\":{\"name\":\"EJVES Extra\",\"volume\":\"26 1\",\"pages\":\"Pages e15-e16\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.03.001\",\"citationCount\":\"6\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"EJVES Extra\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1533316713000101\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"EJVES Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1533316713000101","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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 5.5 cm in diameter, and a wide resection was performed; a further revision was necessary after 2 months in order to perform radical surgery and the patient underwent radiation 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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
