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Early diagnosis and resection of an asymptomatic leiomyosarcoma of the inferior vena cava prior to caval obstruction  Fabio Ramponi, MD, James G. Kench,

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Presentation on theme: "Early diagnosis and resection of an asymptomatic leiomyosarcoma of the inferior vena cava prior to caval obstruction  Fabio Ramponi, MD, James G. Kench,"— Presentation transcript:

1 Early diagnosis and resection of an asymptomatic leiomyosarcoma of the inferior vena cava prior to caval obstruction  Fabio Ramponi, MD, James G. Kench, FRCPA, Dominic V. Simring, FRACS, Michael Crawford, FRACS, Edward Abadir, MBBS, John P. Harris, FRACS  Journal of Vascular Surgery  Volume 55, Issue 2, Pages (February 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Axial (A) and sagittal (B) view of contrast-enhanced computed tomography (CT) scan demonstrating a 2-cm polypoid lesion arising from the posterior wall of the inferior vena cava (IVC) immediately below the hepatic veins. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Intraoperative picture demonstrating the leiomyosarcoma arising on a narrow pedicle from the posterior wall of the inferior vena cava (IVC). B, Axial abdominal computed tomography (CT) documenting no recurrence and good patency of the IVC at 1-year follow-up. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Macroscopic photograph of bisected tumor. B, Tumor comprised intersecting fascicles of spindle cells with blunt-ended nuclei (original magnification ×100, hematoxylin and eosin stain). C, Positive immunohistochemical staining for desmin. Note replacement of the vessel wall by tumor with residual media (top right) (original magnification ×50, desmin staining). D, Frequent mitotic figures were present (original magnification ×400, hematoxylin and eosin stain). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions


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