Aggressive surgery aids long-term IVC leiomyosarcoma survival: Report of a case

Hirotake Komatsu, Takashi Tsuchiya, Hiroshi Honda, Takeshi Naito, Masaya Oikawa, Tetsuya Kakita, Atsushi Oyama, Takashi Yazawa, Yasuhiro Miura, Takashi Sawai

    Research output: Contribution to journalArticle

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)510-518
    Number of pages9
    JournalJapanese Journal of Gastroenterological Surgery
    Volume44
    Issue number4
    DOIs
    Publication statusPublished - 2011

    All Science Journal Classification (ASJC) codes

    • Surgery
    • Gastroenterology

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  • Cite this

    Komatsu, H., Tsuchiya, T., Honda, H., Naito, T., Oikawa, M., Kakita, T., Oyama, A., Yazawa, T., Miura, Y., & Sawai, T. (2011). Aggressive surgery aids long-term IVC leiomyosarcoma survival: Report of a case. Japanese Journal of Gastroenterological Surgery, 44(4), 510-518. https://doi.org/10.5833/jjgs.44.510