Leiomyosarcoma of the Inferior Venacava: A Case Report

Abstract

Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middlesegment of inferior vena cava is the commonest site. The diagnosis can sometimes be challengingas patients present with non-specific symptoms. We present a case of a 65-year-old female whopresented with pain in hypochondrium and epigastric region since 4 months along with weightloss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobatedtumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumorcells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. Withthe diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangentialexcision of 4 cm length of inferior venacava with primary repair.