Tumor thrombectomy without bypass for low-grade malignant tumors extending into the inferior vena cava: report of two cases.

Surgery Today
Masatoshi JibikiTomoyasu Katou

Abstract

Endometrial stromal sarcoma (ESS) rarely extends into the inferior vena cava (IVC). Two cases of ESS extending into the IVC were encountered. In the first case a low-grade sarcoma and cavography revealed the tumor thrombus to extend to just below the left renal vein from the right internal iliac vein, and the IVC was patent. A tumor thrombectomy was accomplished to prevent pulmonary embolism (PE) and to achieve a good prognosis. The second case was also a low-grade sarcoma. Abdominal computed tomography scanning revealed a large thrombus extending into the IVC just below the hepatic vein. A tumor thrombectomy with an IVC resection was performed. The postoperative course was uneventful for both cases. Aggressive surgical treatment is thus recommended to excise a tumor thrombus with or without an IVC resection in patients with ESS of low-grade malignancy extending into the IVC to prevent sudden death due to PE.

References

Jun 1, 1997·The Annals of Thoracic Surgery·J C NesbittJ B Putnam
Dec 11, 1997·British Journal of Urology·J F ObadiaJ F Chassignolle
Jul 31, 1998·Journal of Vascular Surgery·R SarkarW J Quinones-Baldrich
Apr 9, 2004·Journal of Vascular Surgery·Masatoshi JibikiMakoto Sunamori

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Citations

Sep 25, 2012·Surgery Today·Masatoshi JibikiShigeki Arii
Jan 7, 2014·Archivos de bronconeumología·Francisco Javier Garcipérez de VargasSergio Luis Moyano Calvente
Jan 25, 2008·Gynecologic and Obstetric Investigation·Keith Wing-Kit LoTak-Hong Cheung
Mar 23, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Xiaodong XuZhong Chen

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