Leiomyosarcoma of the Inferior Vena Cava Confirmed by Aspiration Biopsy With a Catheter During Digital Subtraction Angiography

Vasc Endovascular Surg. 2016 Apr;50(3):164-7. doi: 10.1177/1538574416637445. Epub 2016 Mar 21.

Abstract

Leiomyosarcoma of the vascular origin is a rare malignant tumor. It originates from the smooth muscle cells of the media with intra- or extraluminal growth, and in most cases it arises in the inferior vena cava. The diagnosis is often delayed because the clinical symptoms of this disease are often nonspecific. Accurate diagnosis of inferior vena cava leiomyosarcoma (IVCLMS) needs histologic confirmation. We report a case of IVCLMS histologically confirmed by aspiration biopsy with a catheter during digital subtraction angiography presenting with pulmonary emboli in a 65-year-old man.

Keywords: aspiration biopsy; digital subtraction angiography; inferior vena cava; leiomyosarcoma.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography, Digital Subtraction / instrumentation*
  • Anticoagulants / therapeutic use
  • Biopsy, Needle / instrumentation*
  • Chemotherapy, Adjuvant
  • Computed Tomography Angiography
  • Diagnosis, Differential
  • Humans
  • Leiomyosarcoma / complications
  • Leiomyosarcoma / diagnostic imaging*
  • Leiomyosarcoma / pathology*
  • Leiomyosarcoma / surgery
  • Male
  • Phlebography / methods
  • Predictive Value of Tests
  • Pulmonary Embolism / etiology
  • Treatment Outcome
  • Vascular Access Devices*
  • Vascular Neoplasms / complications
  • Vascular Neoplasms / diagnostic imaging*
  • Vascular Neoplasms / pathology*
  • Vascular Neoplasms / surgery
  • Vena Cava, Inferior / diagnostic imaging*
  • Vena Cava, Inferior / pathology*
  • Vena Cava, Inferior / surgery
  • Venous Thrombosis / etiology

Substances

  • Anticoagulants