Inferior vena cava leiomyosarcoma: vascular reconstruction is not always mandatory

  • Maher Slimane
  • Nada Belhaj Yahia
  • Hanene Bouaziz
  • Hatem Bouzaine
  • Jamel Benhassouna
  • Tarek Ben Dhieb
  • Monia Hechiche
  • Amor Gammoudi
  • Khaled Rahal

Abstract

Leiomyosarcoma (LMS) of inferior vena cava is a rare and aggressive tumor, arising from the smooth muscle cells in the vessel wall. A large complete surgical resection is the essential treatment. The need of vascular reconstruction is not always mandatory. It’s above all to understand the place of the reconstruction with artificial vascular patch prosthetics of vena cave after a large resection of the tumor. We rapport two cases of LMS of inferior vena cava in two women who underwent successful large resection of tumor and lower segment of inferior vena cava. In first case, reconstruction of the inferior vena cava was not performed because of the development of venous collaterals derivation. In the second case reconstruction was done using Dacron interposition graft. The necessity of a large resection in management of primary leiomyosarcoma of vena cave makes sometimes unavoidable the sacrifice of a portion of the vena. Indeed, a better comprehension of the development of venous derivation may render unnecessary the reconstruction.

The Pan African Medical Journal. 2016;24

 

Author Biographies

Maher Slimane
Oncologic Surgery Department, Institut Salah Azaiez, Tunis, Tunisie
Nada Belhaj Yahia
Oncologic Surgery Department, Institut Salah Azaiez, Tunis, Tunisie
Hanene Bouaziz
Oncologic Surgery Department, Institut Salah Azaiez, Tunis, Tunisie
Hatem Bouzaine
Oncologic Surgery Department, Institut Salah Azaiez, Tunis, Tunisie
Jamel Benhassouna
Oncologic Surgery Department, Institut Salah Azaiez, Tunis, Tunisie
Tarek Ben Dhieb
Oncologic Surgery Department, Institut Salah Azaiez, Tunis, Tunisie
Monia Hechiche
Oncologic Surgery Department, Institut Salah Azaiez, Tunis, Tunisie
Amor Gammoudi
Anatomical Pathology Department, Institut salah Azaiez, Tunis, Tunisie
Khaled Rahal
Oncologic Surgery Department, Institut Salah Azaiez, Tunis, Tunisie
Published
2016-10-02
Section
Articles

Journal Identifiers


eISSN: 1937-8688