Extraskeletal myxoid chondrosarcoma arising in the femoral vein: a case report
Soft tissue tumors arising in deep veins of the extremities are uncommon, although a few cases of synovial sarcoma or leiomyosarcoma arising in the femoral vein have been documented. However, to the best of our knowledge, an extraskeletal myxoid chondrosarcoma (EMC) arising in the femoral vein has n...
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| Veröffentlicht in: | Skeletal radiology 2014-10, Vol.43 (10), p.1465-1469 |
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| creator | Oike, Naoki Ogose, Akira Kawashima, Hiroyuki Umezu, Hajime Inagawa, Shoichi |
| description | Soft tissue tumors arising in deep veins of the extremities are uncommon, although a few cases of synovial sarcoma or leiomyosarcoma arising in the femoral vein have been documented. However, to the best of our knowledge, an extraskeletal myxoid chondrosarcoma (EMC) arising in the femoral vein has not been reported in the English literature. We report a case of EMC arising in the femoral vein of a 70-year-old man who presented with right leg edema and was diagnosed with a deep venous thrombosis (DVT) by computed tomography (CT). Magnetic resonance imaging (MRI) revealed a mass in the right proximal thigh that was diagnosed as myxomatous sarcoma by aspiration cytology, and anticoagulant therapy was initiated. The mass was surgically resected en bloc, including the femoral vein and surrounding soft tissue, and the femoral artery was preserved. The femoral vein was not reconstructed. The histologic diagnosis was an extraskeletal myxoid chondrosarcoma. The patient received postoperative local radiation treatment, with a total dose of 60 Gy, and is currently doing well with no evidence of local recurrence or metastasis at 8 months after surgery. In summary, this case report shows that EMC can arise in the femoral vein, and that reconstruction of the femoral vein is not always necessary during surgery for soft tissue tumors. |
| doi_str_mv | 10.1007/s00256-014-1897-3 |
| format | Article |
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However, to the best of our knowledge, an extraskeletal myxoid chondrosarcoma (EMC) arising in the femoral vein has not been reported in the English literature. We report a case of EMC arising in the femoral vein of a 70-year-old man who presented with right leg edema and was diagnosed with a deep venous thrombosis (DVT) by computed tomography (CT). Magnetic resonance imaging (MRI) revealed a mass in the right proximal thigh that was diagnosed as myxomatous sarcoma by aspiration cytology, and anticoagulant therapy was initiated. The mass was surgically resected en bloc, including the femoral vein and surrounding soft tissue, and the femoral artery was preserved. The femoral vein was not reconstructed. The histologic diagnosis was an extraskeletal myxoid chondrosarcoma. The patient received postoperative local radiation treatment, with a total dose of 60 Gy, and is currently doing well with no evidence of local recurrence or metastasis at 8 months after surgery. In summary, this case report shows that EMC can arise in the femoral vein, and that reconstruction of the femoral vein is not always necessary during surgery for soft tissue tumors.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-014-1897-3</identifier><identifier>PMID: 24818862</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Anticoagulants (Medicine) ; Blood clot ; Case Report ; Chondrosarcoma - diagnosis ; Chondrosarcoma - radiotherapy ; Chondrosarcoma - surgery ; Contrast Media ; CT imaging ; Diagnosis, Differential ; Femoral Vein - pathology ; Femoral Vein - surgery ; Gadolinium ; Health aspects ; Humans ; Image Enhancement - methods ; Imaging ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Neoplasms, Connective and Soft Tissue - diagnosis ; Neoplasms, Connective and Soft Tissue - radiotherapy ; Neoplasms, Connective and Soft Tissue - surgery ; Nuclear Medicine ; Orthopedics ; Pathology ; Radiology ; Radiotherapy ; Thrombosis ; Treatment Outcome ; Vascular Neoplasms - diagnosis ; Vascular Neoplasms - radiotherapy ; Vascular Neoplasms - surgery</subject><ispartof>Skeletal radiology, 2014-10, Vol.43 (10), p.1465-1469</ispartof><rights>ISS 2014</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-32fc920871c7d062a1733b16007016ed5834c2fc23a7936a1d3d629cc09da50c3</citedby><cites>FETCH-LOGICAL-c509t-32fc920871c7d062a1733b16007016ed5834c2fc23a7936a1d3d629cc09da50c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-014-1897-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-014-1897-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24818862$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oike, Naoki</creatorcontrib><creatorcontrib>Ogose, Akira</creatorcontrib><creatorcontrib>Kawashima, Hiroyuki</creatorcontrib><creatorcontrib>Umezu, Hajime</creatorcontrib><creatorcontrib>Inagawa, Shoichi</creatorcontrib><title>Extraskeletal myxoid chondrosarcoma arising in the femoral vein: a case report</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>Soft tissue tumors arising in deep veins of the extremities are uncommon, although a few cases of synovial sarcoma or leiomyosarcoma arising in the femoral vein have been documented. 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In summary, this case report shows that EMC can arise in the femoral vein, and that reconstruction of the femoral vein is not always necessary during surgery for soft tissue tumors.</description><subject>Aged</subject><subject>Anticoagulants (Medicine)</subject><subject>Blood clot</subject><subject>Case Report</subject><subject>Chondrosarcoma - diagnosis</subject><subject>Chondrosarcoma - radiotherapy</subject><subject>Chondrosarcoma - surgery</subject><subject>Contrast Media</subject><subject>CT imaging</subject><subject>Diagnosis, Differential</subject><subject>Femoral Vein - pathology</subject><subject>Femoral Vein - surgery</subject><subject>Gadolinium</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Image Enhancement - methods</subject><subject>Imaging</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neoplasms, Connective and Soft Tissue - diagnosis</subject><subject>Neoplasms, Connective and Soft Tissue - radiotherapy</subject><subject>Neoplasms, Connective and Soft Tissue - surgery</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Pathology</subject><subject>Radiology</subject><subject>Radiotherapy</subject><subject>Thrombosis</subject><subject>Treatment Outcome</subject><subject>Vascular Neoplasms - diagnosis</subject><subject>Vascular Neoplasms - radiotherapy</subject><subject>Vascular Neoplasms - surgery</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU9v1DAQxS1ERZfCB-CCLHHhkjJjx3bCrarKH6mil_ZsufZk65LEi51F7bfHyxZUEMiHkTy_9zQzj7FXCMcIYN4VAKF0A9g22PWmkU_YClspGoEan7IVSN02QrbdIXteyi0AGqP0M3Yo2g67TosV-3J2t2RXvtJIixv5dH-XYuD-Js0hp-KyT5PjLscS5zWPM19uiA80pVzh7xTn99xx7wrxTJuUlxfsYHBjoZcP9YhdfTi7PP3UnF98_Hx6ct54Bf3SSDH4XkBn0JsAWjg0Ul6jrksBagqqk62vjJDO9FI7DDJo0XsPfXAKvDxib_e-m5y-baksdorF0zi6mdK2WFRKaaFa01X0zV_obdrmuU73k5JGaPWIWruRbJyHVM_id6b2xEgEFNCaSh3_g6ov0BR9mmmI9f8PAe4Fvl6zZBrsJsfJ5XuLYHcZ2n2GtmZodxlaWTWvHwbeXk8Ufit-hVYBsQdKbc1ryo82-q_rD4f0o2Y</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Oike, Naoki</creator><creator>Ogose, Akira</creator><creator>Kawashima, Hiroyuki</creator><creator>Umezu, Hajime</creator><creator>Inagawa, Shoichi</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Extraskeletal myxoid chondrosarcoma arising in the femoral vein: a case report</title><author>Oike, Naoki ; Ogose, Akira ; Kawashima, Hiroyuki ; Umezu, Hajime ; Inagawa, Shoichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-32fc920871c7d062a1733b16007016ed5834c2fc23a7936a1d3d629cc09da50c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Anticoagulants (Medicine)</topic><topic>Blood clot</topic><topic>Case Report</topic><topic>Chondrosarcoma - diagnosis</topic><topic>Chondrosarcoma - radiotherapy</topic><topic>Chondrosarcoma - surgery</topic><topic>Contrast Media</topic><topic>CT imaging</topic><topic>Diagnosis, Differential</topic><topic>Femoral Vein - pathology</topic><topic>Femoral Vein - surgery</topic><topic>Gadolinium</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Image Enhancement - methods</topic><topic>Imaging</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neoplasms, Connective and Soft Tissue - diagnosis</topic><topic>Neoplasms, Connective and Soft Tissue - radiotherapy</topic><topic>Neoplasms, Connective and Soft Tissue - surgery</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Pathology</topic><topic>Radiology</topic><topic>Radiotherapy</topic><topic>Thrombosis</topic><topic>Treatment Outcome</topic><topic>Vascular Neoplasms - diagnosis</topic><topic>Vascular Neoplasms - radiotherapy</topic><topic>Vascular Neoplasms - 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Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oike, Naoki</au><au>Ogose, Akira</au><au>Kawashima, Hiroyuki</au><au>Umezu, Hajime</au><au>Inagawa, Shoichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extraskeletal myxoid chondrosarcoma arising in the femoral vein: a case report</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>43</volume><issue>10</issue><spage>1465</spage><epage>1469</epage><pages>1465-1469</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><abstract>Soft tissue tumors arising in deep veins of the extremities are uncommon, although a few cases of synovial sarcoma or leiomyosarcoma arising in the femoral vein have been documented. However, to the best of our knowledge, an extraskeletal myxoid chondrosarcoma (EMC) arising in the femoral vein has not been reported in the English literature. We report a case of EMC arising in the femoral vein of a 70-year-old man who presented with right leg edema and was diagnosed with a deep venous thrombosis (DVT) by computed tomography (CT). Magnetic resonance imaging (MRI) revealed a mass in the right proximal thigh that was diagnosed as myxomatous sarcoma by aspiration cytology, and anticoagulant therapy was initiated. The mass was surgically resected en bloc, including the femoral vein and surrounding soft tissue, and the femoral artery was preserved. The femoral vein was not reconstructed. The histologic diagnosis was an extraskeletal myxoid chondrosarcoma. The patient received postoperative local radiation treatment, with a total dose of 60 Gy, and is currently doing well with no evidence of local recurrence or metastasis at 8 months after surgery. In summary, this case report shows that EMC can arise in the femoral vein, and that reconstruction of the femoral vein is not always necessary during surgery for soft tissue tumors.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24818862</pmid><doi>10.1007/s00256-014-1897-3</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Anticoagulants (Medicine) Blood clot Case Report Chondrosarcoma - diagnosis Chondrosarcoma - radiotherapy Chondrosarcoma - surgery Contrast Media CT imaging Diagnosis, Differential Femoral Vein - pathology Femoral Vein - surgery Gadolinium Health aspects Humans Image Enhancement - methods Imaging Magnetic Resonance Imaging Male Medicine Medicine & Public Health Neoplasms, Connective and Soft Tissue - diagnosis Neoplasms, Connective and Soft Tissue - radiotherapy Neoplasms, Connective and Soft Tissue - surgery Nuclear Medicine Orthopedics Pathology Radiology Radiotherapy Thrombosis Treatment Outcome Vascular Neoplasms - diagnosis Vascular Neoplasms - radiotherapy Vascular Neoplasms - surgery |
| title | Extraskeletal myxoid chondrosarcoma arising in the femoral vein: a case report |
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