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