We report a case of inferior vena cava (IVC) sarcoma aiding long-term survival. A 39-year-old woman underwent radical surgery in July 2001. In it, a retroperitoneal tumor was resected and the IVC partially resected and replaced with a synthetic vascular prosthesis. Histologically, findings showed IVC leiomyosarcoma. Metachronous local and distant recurrence was found after liver metastasis detected 27 months after surgery. For this, she underwent 10 resections, dying 95 months (7.9 years) after initial surgery. Resections involved the liver, pancreas, subcutaneous soft tissue, spine, and local recurrent sites. The last detected but unresectable metastases were of the skull and soft tissue. Our case underscores the importance of aggressive surgery in recurrent IVC sarcoma for lengthening survival.
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