Leiomyosarcoma of the inferior vena cava presenting as a cardiac mass |
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Authors: | Maryam Nabati MD Soheil Azizi MD |
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Affiliation: | 1. Associate Professor, Fellowship of Echocardiography, Department of cardiology, Faculty of Medicine, Cardiovascular Research Center, Mazandaran University of Medical Sciences, Sari, Iran;2. Assistant Professor, Department of pathology, Faculty of Medicine, Cardiovascular Research Center, Mazandaran University of Medical Sciences, Sari, Iran |
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Abstract: | Primary tumors of the inferior vena cava (IVC) are rare. The most common primary malignancy is leiomyosarcoma (LMS), with a severe prognosis. Right‐atrium (RA) involvement is seen in about 20 percent of cases. We report the case of a 53‐year‐old woman admitted to the intensive care unit because of progressive dyspnea with lower limb edema. Echocardiography demonstrated a large mass in the RA. At open‐heart surgery, the tumor appeared located in the IVC infrahepatic segment, completely obstructing the lumen and extending into the suprahepatic portion and the RA. Histopathological examination concluded to LMS. |
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Keywords: | dyspnea inferior vena cava Leiomyosarcoma right‐atrium tumor surgical resection |
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