Unexpected inferior vena cava syndrome: leiomyosarcoma
Leiomyosarcomas arising directly from the blood vessels are rare. These tumours are formed from the muscular wall of either a major vein or artery. The authors describe the case of an 84-year-old woman with lower back pain with bilateral abdominal irradiation and marked peripheral oedema, who was di...
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description | Leiomyosarcomas arising directly from the blood vessels are rare. These tumours are formed from the muscular wall of either a major vein or artery. The authors describe the case of an 84-year-old woman with lower back pain with bilateral abdominal irradiation and marked peripheral oedema, who was diagnosed with leiomyosarcoma of the inferior vena cava after biopsy of an infrahepatic mass. An endovascular prosthesis was placed as the patient was proposed for palliative care. Leiomyosarcomas of the inferior vena cava may present with non-specific symptoms. Therefore, the authors aim to draw attention to the diagnosis process, as well as imaging findings related to this pathology. |
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These tumours are formed from the muscular wall of either a major vein or artery. The authors describe the case of an 84-year-old woman with lower back pain with bilateral abdominal irradiation and marked peripheral oedema, who was diagnosed with leiomyosarcoma of the inferior vena cava after biopsy of an infrahepatic mass. An endovascular prosthesis was placed as the patient was proposed for palliative care. Leiomyosarcomas of the inferior vena cava may present with non-specific symptoms. Therefore, the authors aim to draw attention to the diagnosis process, as well as imaging findings related to this pathology.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2020-239839</identifier><identifier>PMID: 33782067</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Adrenal glands ; Aged, 80 and over ; Asymptomatic ; Biopsy ; Blood clots ; Case Report ; Case reports ; Edema ; Female ; Humans ; Kidneys ; Leiomyosarcoma - diagnostic imaging ; Leiomyosarcoma - surgery ; Lymphoma ; Medical imaging ; Medical prognosis ; Metastasis ; Pain ; Palliative care ; Patients ; Sarcoma ; Smooth muscle ; Thrombosis ; Tumors ; Vascular Diseases ; Vascular Neoplasms - diagnostic imaging ; Veins & arteries ; Vena Cava, Inferior - diagnostic imaging</subject><ispartof>BMJ case reports, 2021-03, Vol.14 (3), p.e239839</ispartof><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2021 BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c380t-70fd2d787f05e9eb9c0a2a76f78339f22785068676d452b0ca4c7ad67c9539963</citedby><cites>FETCH-LOGICAL-c380t-70fd2d787f05e9eb9c0a2a76f78339f22785068676d452b0ca4c7ad67c9539963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009215/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8009215/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33782067$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oliveira, Raquel</creatorcontrib><creatorcontrib>Pires, Verena</creatorcontrib><creatorcontrib>Macedo, Cristiane</creatorcontrib><creatorcontrib>Madeira, Joana</creatorcontrib><title>Unexpected inferior vena cava syndrome: leiomyosarcoma</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Leiomyosarcomas arising directly from the blood vessels are rare. These tumours are formed from the muscular wall of either a major vein or artery. The authors describe the case of an 84-year-old woman with lower back pain with bilateral abdominal irradiation and marked peripheral oedema, who was diagnosed with leiomyosarcoma of the inferior vena cava after biopsy of an infrahepatic mass. An endovascular prosthesis was placed as the patient was proposed for palliative care. Leiomyosarcomas of the inferior vena cava may present with non-specific symptoms. Therefore, the authors aim to draw attention to the diagnosis process, as well as imaging findings related to this pathology.</description><subject>Abdomen</subject><subject>Adrenal glands</subject><subject>Aged, 80 and over</subject><subject>Asymptomatic</subject><subject>Biopsy</subject><subject>Blood clots</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Edema</subject><subject>Female</subject><subject>Humans</subject><subject>Kidneys</subject><subject>Leiomyosarcoma - diagnostic imaging</subject><subject>Leiomyosarcoma - surgery</subject><subject>Lymphoma</subject><subject>Medical imaging</subject><subject>Medical prognosis</subject><subject>Metastasis</subject><subject>Pain</subject><subject>Palliative care</subject><subject>Patients</subject><subject>Sarcoma</subject><subject>Smooth muscle</subject><subject>Thrombosis</subject><subject>Tumors</subject><subject>Vascular Diseases</subject><subject>Vascular Neoplasms - diagnostic imaging</subject><subject>Veins & arteries</subject><subject>Vena Cava, Inferior - diagnostic imaging</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkctLAzEQh4MottSevcmCFy9r89jNw4MgxRcUvFjwFrLZWd2yu6lJt9j_3pTWouaSwHz5MTMfQucEXxPC-KSwPqWY4pQyJZk6QkMicpEKhd-Of70HaBzCAsfDSCYzdooGjAlJMRdDxOcdfC3BrqBM6q4CXzufrKEziTVrk4RNV3rXwk3SQO3ajQvGW9eaM3RSmSbAeH-P0Pzh_nX6lM5eHp-nd7PUMolXqcBVSUshRYVzUFAoiw01gldCMqYqSoXMMZdc8DLLaYGtyawwJRdW5Uwpzkbodpe77IsWSgvdyptGL33dGr_RztT6b6WrP_S7W2uJsaIkjwFX-wDvPnsIK93WwULTmA5cHzTNsSAZ53GBI3T5D1243ndxvEgRKljcnYrUZEdZ70LwUB2aIVhvteioRW-16J2W-OPi9wwH_kcC-wYCU4g2</recordid><startdate>20210329</startdate><enddate>20210329</enddate><creator>Oliveira, Raquel</creator><creator>Pires, Verena</creator><creator>Macedo, Cristiane</creator><creator>Madeira, Joana</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</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>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210329</creationdate><title>Unexpected inferior vena cava syndrome: leiomyosarcoma</title><author>Oliveira, Raquel ; Pires, Verena ; Macedo, Cristiane ; Madeira, Joana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-70fd2d787f05e9eb9c0a2a76f78339f22785068676d452b0ca4c7ad67c9539963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>Adrenal glands</topic><topic>Aged, 80 and over</topic><topic>Asymptomatic</topic><topic>Biopsy</topic><topic>Blood clots</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Edema</topic><topic>Female</topic><topic>Humans</topic><topic>Kidneys</topic><topic>Leiomyosarcoma - diagnostic imaging</topic><topic>Leiomyosarcoma - surgery</topic><topic>Lymphoma</topic><topic>Medical imaging</topic><topic>Medical prognosis</topic><topic>Metastasis</topic><topic>Pain</topic><topic>Palliative care</topic><topic>Patients</topic><topic>Sarcoma</topic><topic>Smooth muscle</topic><topic>Thrombosis</topic><topic>Tumors</topic><topic>Vascular Diseases</topic><topic>Vascular Neoplasms - diagnostic imaging</topic><topic>Veins & arteries</topic><topic>Vena Cava, Inferior - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oliveira, Raquel</creatorcontrib><creatorcontrib>Pires, Verena</creatorcontrib><creatorcontrib>Macedo, Cristiane</creatorcontrib><creatorcontrib>Madeira, Joana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oliveira, Raquel</au><au>Pires, Verena</au><au>Macedo, Cristiane</au><au>Madeira, Joana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unexpected inferior vena cava syndrome: leiomyosarcoma</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2021-03-29</date><risdate>2021</risdate><volume>14</volume><issue>3</issue><spage>e239839</spage><pages>e239839-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Leiomyosarcomas arising directly from the blood vessels are rare. These tumours are formed from the muscular wall of either a major vein or artery. The authors describe the case of an 84-year-old woman with lower back pain with bilateral abdominal irradiation and marked peripheral oedema, who was diagnosed with leiomyosarcoma of the inferior vena cava after biopsy of an infrahepatic mass. An endovascular prosthesis was placed as the patient was proposed for palliative care. Leiomyosarcomas of the inferior vena cava may present with non-specific symptoms. Therefore, the authors aim to draw attention to the diagnosis process, as well as imaging findings related to this pathology.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>33782067</pmid><doi>10.1136/bcr-2020-239839</doi></addata></record> |
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subjects | Abdomen Adrenal glands Aged, 80 and over Asymptomatic Biopsy Blood clots Case Report Case reports Edema Female Humans Kidneys Leiomyosarcoma - diagnostic imaging Leiomyosarcoma - surgery Lymphoma Medical imaging Medical prognosis Metastasis Pain Palliative care Patients Sarcoma Smooth muscle Thrombosis Tumors Vascular Diseases Vascular Neoplasms - diagnostic imaging Veins & arteries Vena Cava, Inferior - diagnostic imaging |
title | Unexpected inferior vena cava syndrome: leiomyosarcoma |
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