Low-grade endometrial stromal sarcoma with inferior vena cava tumor thrombus and intracardiac extension: radical resection may improve recurrence free survival

Surgical Oncology
Pietro RenzulliDaniel Candinas

Abstract

Endometrial stromal sarcoma (ESS) represents 0.2% of all uterine malignancies. Based on the mitotic activity, a distinction is made between low and high-grade ESS. Although the overall five-year survival rate for low-grade ESS exceeds 80%, about 50% of the patients show tumor recurrence, mostly after a long latency period. Tumor invasion of the great vessels is extremely rare. We describe a patient with advanced low-grade ESS with tumor invasion of the infrarenal aorta and the inferior vena cava. The patient presented with a large tumor thrombus extending from the inferior vena cava into the right atrium. Review of literature and identification of 19 patients, including our own case report, with advanced low-grade ESS with invasion of the great vessels and formation of an inferior vena cava tumor thrombus. All 19 patients presented with an abdominal tumor mass and a tumor thrombus protruding into the inferior vena cava. The tumor thrombus extended into the right heart cavities in nine patients reaching the right atrium in four, the right ventricle in three and the pulmonary artery in two patients. There were 5 patients with an advanced primary tumor and 14 patients with an advanced recurrent tumor. Seven patients presented with...Continue Reading

References

Jan 1, 1990·Gynecologic Oncology·A BerchuckJ L Lewis
Aug 1, 1986·The Thoracic and Cardiovascular Surgeon·H SaitoT Noto
Sep 1, 1987·Gynecologic Oncology·S P Whitlatch, R L Meyer
Mar 1, 1995·The Annals of Thoracic Surgery·M R PhillipsL C Hartmann
Nov 1, 1996·Gynecologic Oncology·A GadducciA Fanucchi
Aug 12, 1999·Acta Clinica Belgica·K Janssen van DoornP Van der Niepen
Nov 5, 1999·Pathology, Research and Practice·J Fernando Val-Bernal, E Hernández-Nieto
Mar 24, 2000·Gynecologic and Obstetric Investigation·O IshikoS Ogita
Feb 15, 2001·International Journal of Radiation Oncology, Biology, Physics·H D WeitmannR Pötter
Sep 27, 2002·The Journal of Thoracic and Cardiovascular Surgery·Bruno ChiappiniAngelo Pierangeli
Jun 25, 2003·Gynecologic Oncology·Frédéric AmantIgnace Vergote
Jul 16, 2003·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ali HaberalM Faruk Köse
Feb 27, 2007·Gynecologic Oncology·Charles A LeathMichael A Gold
Mar 16, 2007·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·M IhnenJ Schwarz
Jun 5, 2007·Current Opinion in Oncology·Olaf Reich, Sigrid Regauer
Aug 21, 2007·Critical Reviews in Oncology/hematology·Angiolo GadducciAndrea Riccardo Genazzani
Sep 22, 2007·Best Practice & Research. Clinical Obstetrics & Gynaecology·Andrea Garrett, Michael A Quinn
Apr 2, 2008·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·N S ReedUNKNOWN European Organisation for Research and Treatment of Cancer Gynaecological Cancer Group
May 29, 2008·Journal of Cancer Research and Clinical Oncology·Jeong-Yeol ParkJoo-Hyun Nam

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Citations

Sep 2, 2014·Nuclear Medicine and Molecular Imaging·T LiuC Mari Aparici
Jan 7, 2014·Archivos de bronconeumología·Francisco Javier Garcipérez de VargasSergio Luis Moyano Calvente
Aug 26, 2011·Cardiovascular Ultrasound·Cristina L WoodTamas Seres
Jun 16, 2012·Abdominal Imaging·Sree Harsha TirumaniCaroline Reinhold
Dec 15, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S PistoriusJ Weitz
Dec 15, 2015·Texas Heart Institute Journal·Daniel ScherShawn Sarin
Jul 29, 2015·Vascular Specialist International·Mi-Hyeong KimJi-Il Kim
Oct 6, 2015·Research in Cardiovascular Medicine·Behnam ShakerianFarideh Roshanali
Nov 19, 2013·International Journal of Surgery Case Reports·Ilsalien S BakkerHarm H de Haan
Dec 16, 2011·Journal of Vascular Surgery·Brandon C BusuitoCraig Rogers
May 31, 2016·Case Reports in Obstetrics and Gynecology·Wataru KudakaYoichi Aoki
Mar 25, 2014·Annals of Saudi Medicine·Ahmet EkmekciBaran Karatas
Jan 9, 2014·Vascular and Endovascular Surgery·Derek NathanVenkat Kalapatapu
May 26, 2010·Journal of Computer Assisted Tomography·Shinya FujiiToshihide Ogawa
Oct 1, 2019·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·Yan TangLing Li
Jan 1, 2012·American Society of Clinical Oncology Educational Book·Sharmilee B Korets, John P Curtin
Aug 25, 2020·The Journal of Obstetrics and Gynaecology Research·V A CapozziR Berretta
May 11, 2019·Journal of Clinical Ultrasound : JCU·Marijana TadicSabine Haßfeld
Dec 26, 2009·Current Opinion in Obstetrics & Gynecology

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