Rare differential diagnosis on suspected liver tumor

This case report describes a 77-year old woman with a leiomyosarcoma of subhepatic inferior caval vein. The presented symptom was unspecific abdominal pain. Ultrasound and CT suggested a primary liver tumor. MRI revealed retroperitoneal location of the neoplasm. The tumor was resected completely and...

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Bibliographic Details
Published inDer Internist (Berlin) Vol. 50; no. 5; p. 612
Main Authors Kinkel, B, Walgenbach-Brünagel, G, Risse, J H, Pauleit, D O
Format Journal Article
LanguageGerman
Published Germany 01.05.2009
Subjects
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Abdominal Pain - prevention & control
Aged
Diagnosis, Differential
Female
Humans
Leiomyosarcoma - complications
Leiomyosarcoma - diagnosis
Leiomyosarcoma - surgery
Liver Neoplasms - complications
Liver Neoplasms - diagnosis
Treatment Outcome
Vascular Neoplasms - complications
Vascular Neoplasms - diagnosis
Vascular Neoplasms - surgery
Vena Cava, Inferior - surgery
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Summary:This case report describes a 77-year old woman with a leiomyosarcoma of subhepatic inferior caval vein. The presented symptom was unspecific abdominal pain. Ultrasound and CT suggested a primary liver tumor. MRI revealed retroperitoneal location of the neoplasm. The tumor was resected completely and ICV was replaced by a PTF-graft. Vascular leiomyosarcoma is a rare tumor entity, which often is diagnosed in advanced stage. Depending on location it can be mistaken for neoplasms of other organs.
ISSN:1432-1289
DOI:10.1007/s00108-008-2278-6