Leiomyosarcoma of the Infrarenal Inferior Vena Cava: Management in Three Cases and a Review of the Literature

Leiomyosarcoma (LMS) of the inferior vena cava (IVC) represents 90% of inferior vena cava tumours. It has a poor prognosis. We present three LMS of infrarenal IVC. Survival was long in two patients in spite of a non-radical resection. Chemotherapy and repeat surgery was performed for recurrence. The third patient was in complete remission at last follow-up at 29 months. Mainstay treatment for this tumour is surgical resection. Rescue surgery for local and metastastic recurrences together with systemic chemotherapy and radiotherapy may improve survival.

Keywords: Leiomyosarcoma, Inferior vena cava, Radical surgery, Rescue surgery