Combined replacement of infrarenal aorta and inferior vena cava after en bloc resection of retroperitoneal extraosseous osteosarcoma

Objectives Primary tumors of the inferior vena cava are rare, with leiomyosarcoma representing the vast majority. Method A 60-year-old man was admitted in emergency for fainting and mild anemia. A whole-body computed tomography revealed a retroperitoneal mass of approximately 8 cm in diameter, invading the lumen of the inferior vena cava, extending to the renal vein confluence. An en bloc resection of the solid mass was performed. Macroscopically the tumor did not seem to insist on the resection margin. Results Histopathological examination confirmed the diagnosis of leiomyosarcoma of the inferior vena cava. Postoperative recovery was uneventful and the patient was discharged after eight days, starting adjuvant chemotherapy. During the follow-up, the patient did not show other fainting episode, and at 24 months he is disease free. Conclusions: Unusually, fainting could even be the isolated sign of a large leiomyosarcoma of the inferior vena cava, also when it affects its middle portion.

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Vena Cava and Pancreatic head En Bloc Resection for an Invasive Inferior Vena Cava Leiomyosarcoma in a Liver Transplant Patient

Clinics and Research in Hepatology and Gastroenterology ◽

10.1016/j.clinre.2020.101609 ◽

2021 ◽

Vol 45 (6) ◽

pp. 101609

Author(s):

Marcos Bettini Pitombo ◽

Claire Goumard ◽

Chetana Lim ◽

João Bernardo Sancio ◽

Alessandra Mazzola ◽

...

Keyword(s):

Inferior Vena Cava ◽

Liver Transplant ◽

Transplant Patient ◽

Inferior Vena ◽

Vena Cava ◽

Pancreatic Head ◽

En Bloc Resection ◽

Bloc Resection ◽

Liver Transplant Patient ◽

En Bloc

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Management of Locally Advanced Renal Cell Carcinoma with Invasion of the Duodenum

Case Reports in Surgery ◽

10.1155/2013/596362 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Andrew T. Schlussel ◽

Aaron B. Fowler ◽

Herbert K. Chinn ◽

Linda L. Wong

Keyword(s):

Renal Cell Carcinoma ◽

Cell Carcinoma ◽

Renal Cell ◽

Inferior Vena ◽

Locally Advanced ◽

Vena Cava ◽

En Bloc Resection ◽

Bloc Resection ◽

En Bloc

Renal cell carcinoma (RCC) is rare but aggressive, with greater than 20% of patients presenting with stage III or IV, disease. Surgical resection of the primary tumor regardless of stage is the treatment of choice, and en bloc resection of involved organs provides the only potential chance for cure. This case report describes a patient with metastatic right-sided RCC with invasion of the inferior vena cava and duodenum managed by en block resection and pancreaticoduodenectomy. This report will review the workup and treatment of locally advanced RCC, as well as the role of cytoreductive nephrectomy in the setting of metastatic disease.

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Surgical management of ovarian carcinosarcoma with inferior vena cava extension into the right atrium

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa530 ◽

2020 ◽

Vol 2020 (12) ◽

Author(s):

Akeel M Merchant ◽

Mark D Friedland ◽

Marcus A Behrens ◽

Adam R Williams ◽

Andrew Berchuck ◽

...

Keyword(s):

Inferior Vena Cava ◽

Right Atrium ◽

Inferior Vena ◽

Tumor Resection ◽

Vena Cava ◽

Abdominal Distension ◽

En Bloc Resection ◽

En Bloc ◽

Gynecologic Tumor ◽

Ovarian Carcinosarcoma

Abstract Gynecological carcinosarcomas are aggressive tumors with rare occurrence and high rates of metastases. We present the case of a 49-year-old woman with vaginal bleeding and abdominal distension who was found to have a large ovarian carcinosarcoma invading the gonadal vein and inferior vena cava (IVC) and extending into right atrium (RA). She underwent gynecologic tumor resection, IVC cavotomy and en bloc resection of tumor/thrombus through the RA. Use of intraoperative transesophageal echocardiography helped assess extent and mobility of mass in the RA to guide surgical approach. This case posed unique challenges with regard to management of induction, hemodynamics and coagulopathy.

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