Lazar Davidovic, Stefan Ducic, Marko Dragas, Zlatanovic Petar, Sladojevic Milos, Ilijas Cinara, Grubor Nikica, Andreja Dimic
Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Clinic for Vascular and Endovascular Surgery, University Clinical Center of Serbia, Koste Todorovića Street 8, Belgrade 11000, Serbia.
J Surg Case Rep. 2024 Jun 5;2024(6):rjad546. doi: 10.1093/jscr/rjad546. eCollection 2024 Jun.
Tumors of the inferior vena cava (IVC) are rare and usually malignant and they can be primary and secondary. The most common primary tumor of the IVC is primary leiomyosarcoma. The first case of primary IVC leiomyosarcoma has been described in 1871 [1].The total number of 218 cases has collected until 1996 [2]. After that, three large single center series of these tumors emerged [3-5]. Present a series of five cases of these tumors. All the patients underwent a wide complete resection of tumors and the reconstruction with Dacron grafts. One patient died 19 months after the surgery, while the remaining ones survived without a local and system disease relapse. Although a surgical resection combined with the chemotherapy is often not curative, it can achieve a significant long-term survival. For this reason, we recommend the aggressive surgical management using the modern vascular surgical and oncology techniques.
下腔静脉肿瘤罕见，通常为恶性，可分为原发性和继发性。下腔静脉最常见的原发性肿瘤是原发性平滑肌肉瘤。1871年首次报道了原发性下腔静脉平滑肌肉瘤病例[1]。截至1996年共收集到218例病例[2]。此后，出现了三个关于这些肿瘤的大型单中心系列报道[3-5]。本文报道了5例此类肿瘤。所有患者均接受了肿瘤广泛完整切除及涤纶补片重建术。1例患者术后19个月死亡，其余患者均存活，无局部及全身疾病复发。虽然手术切除联合化疗往往无法治愈，但可实现显著的长期生存。因此，我们建议采用现代血管外科和肿瘤学技术进行积极的手术治疗。
