Introduction The authors report a rare case of a leiomyosarcoma of the great saphenous vein (GSV), diagnosed in a 72-year-old male. Report The symptoms were limited to leg tension and pain during exercise; Duplex scan suggested a GSV thrombosis with an enlarged lymph node. The failure of low-molecular-weight heparin treatment requested a magnetic resonance imaging (MRI) scan revealing a mass attached to the left saphenous vein. An en bloc removal of the mass, measuring 5.5 cm in diameter, and a wide resection was performed; a further revision was necessary after 2 months in order to perform radical surgery and the patient underwent radiation therapy. When lung metastases occurred, the patient started chemotherapy but after 5 months died. Discussion Leiomyosarcoma is difficult to diagnose, requiring MRI scan or positron emission tomography-computed tomography (PET-CT) scan. The best therapy is surgery, which must be radical and may be followed by radiation therapy that may be indicated postoperatively in case of metastases.

Great Saphenous Vein and Leiomyosarcoma

SERRA R;DE FRANCISCIS S
2013-01-01

Abstract

Introduction The authors report a rare case of a leiomyosarcoma of the great saphenous vein (GSV), diagnosed in a 72-year-old male. Report The symptoms were limited to leg tension and pain during exercise; Duplex scan suggested a GSV thrombosis with an enlarged lymph node. The failure of low-molecular-weight heparin treatment requested a magnetic resonance imaging (MRI) scan revealing a mass attached to the left saphenous vein. An en bloc removal of the mass, measuring 5.5 cm in diameter, and a wide resection was performed; a further revision was necessary after 2 months in order to perform radical surgery and the patient underwent radiation therapy. When lung metastases occurred, the patient started chemotherapy but after 5 months died. Discussion Leiomyosarcoma is difficult to diagnose, requiring MRI scan or positron emission tomography-computed tomography (PET-CT) scan. The best therapy is surgery, which must be radical and may be followed by radiation therapy that may be indicated postoperatively in case of metastases.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.12317/7120
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