Abstract
A 42 year old woman presented with swelling and pain of the left lower limb. Laboratory tests were unremarkable. Ultrasonography indicated left common femoral venous “thrombosis”. Venography revealed segmental vein occlusion. Computed tomography revealed an enlarged femoral vein with a hypodense mass. Magnetic resonance showed a 2.7 × 1.4 × 1.5 cm well enhanced mass (A, arrow). Intra-operative histopathological examination reported spindle cell sarcoma. Complete resection and reconstruction with great saphenous vein was performed. However, intravascular fasciitis was considered based on immunohistochemistry (smooth muscle actin positive but desmin negative), and was confirmed by fluorescence in situ hybridisation for ubiquitin specific protease 6 rearrangement (B, separation of green and red signals in blue nuclei).Image 1
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