Abstract
Primary vascular leiomyosarcoma is rare tumour arising most frequently from inferior vena cava. In lit erature only case reports or small case series are available. The pre sentation and surgical management depends on origin of the tumour in relation to the hepatic and renal veins, tumour gro wth (extra luminal or intra luminal) and involvemen t of surrounding structures. Leiomyosarcoma of inferior vena cava tu mour poses a challenge with respect to resectabilit y, reconstruction, potential for massive haemorrhage, requirement of c ardiopulmonary bypass and possibility of tumour thr omboemboli. Our experience with successful management of rare case and with thorough literature review suggest surgica l resection of leiomyosarcoma of the IVC with P olytetrafluoroethylene vascular graft reconstruction provides good surgic al and oncological outcome.
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