Figure 1 Leiomyosarcoma of vena cava
Figure 2 Leiomyosarcoma of left renal vein
comorbidities |
% |
Hypertension |
54.55% |
Diabetes mellitus type 2 |
18.18% |
High cholesterol |
9.09% |
Chronic obstructive pulmonary disease |
9.09% |
Pulmonary embolism |
9.09% |
Cerebrovascular accident |
9.09% |
Ischemic cardiomyopathy |
9.09% |
Table N°1: Comorbidities
Location |
N |
Surgical approach |
Vena cava |
7 |
Open |
Left iliac vein |
1 |
Open |
Left renal vein |
1 |
Open |
Right gonadal vein |
1 |
Laparoscopy |
Right iliac vein |
1 |
Open |
Table 2. LMS site and surgical approach.
Patient |
Tumor size (cm) |
Surgery |
Reconstruction |
Resection type |
FNLCLCC grade |
AJCC stage |
||||
1 |
7.8 |
Anterior vena cava wall tumor resection |
Partial resection of the vein and suture |
R0 |
3 |
T2N0M0 |
|
|||
2 |
12 |
Anterior vena cava wall tumour resection + left nephrectomy for renal involvement |
Partial resection of the vein and suture |
R1 |
3 |
T3N0M0 |
|
|||
3 |
9 |
Vena cava tumour resection + nephrectomy + aorta wall |
Vena cava ligature + aorta prosthesis |
R1 |
3 |
T3N0M0 |
|
|||
4 |
13 |
Vena cava tumour resection + nephrectomy + gallbladder + suprarenalectomy |
Vena cava ligature |
R1 |
2 |
T2N0M0 |
|
|||
5 |
10 |
Renal vein tumour resection + nephrectomy |
Vein ligation |
R1 |
2 |
T2N0M0 |
|
|||
6 |
11 |
Gonadal vein tumour resection |
Ligature |
R0 |
2 |
T2N0M0 |
|
|||
7 |
5 |
Lateral vena cava wall tumour resection |
Partial resection of the vein and suture |
R1 |
3 |
T2N0M0 |
|
|||
8 |
7 |
Right external iliac vein tumour + femoral nerve resection |
Synthetic femoral artery bypass prosthesis |
R0 |
3 |
T3N0M1 |
|
|||
9 |
5 |
Left renal vein tumour + pancreatic tail + left colon + kidney + psoas muscle resection |
Vein ligation |
R0 |
3 |
T3N1M1 |
|
|||
10 |
5.5 |
Left iliac vein tumour |
Ligature |
R2 |
3 |
T3N0M0 |
|
|||
11 |
12 |
Gonadal vessel anterior wall tumour + vena cava resection |
Anterior vena cava wall suture |
R0 |
3 |
T3N0M1 |
|
Table 3: Retroperitoneal and pelvic characteristics